Healthcare Provider Details

I. General information

NPI: 1396778403
Provider Name (Legal Business Name): THOMAS DAVID HURWITZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2312 S 6TH ST STE F256
MINNEAPOLIS MN
55454-1336
US

IV. Provider business mailing address

2312 S 6TH ST STE F256
MINNEAPOLIS MN
55454-1336
US

V. Phone/Fax

Practice location:
  • Phone: 612-273-8700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number20235
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number20235
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: