Healthcare Provider Details

I. General information

NPI: 1831482660
Provider Name (Legal Business Name): JOSHUA M HOROWITZ DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2011
Last Update Date: 11/19/2020
Certification Date: 11/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 EAST MAIN STREET
CROSBY MN
56441
US

IV. Provider business mailing address

320 EAST MAIN STREET
CROSBY MN
56441
US

V. Phone/Fax

Practice location:
  • Phone: 218-546-7000
  • Fax: 218-546-4400
Mailing address:
  • Phone: 218-546-7000
  • Fax: 218-546-4400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number59712
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: