Healthcare Provider Details

I. General information

NPI: 1861338253
Provider Name (Legal Business Name): MARC JAMES ABRIGO THOR UY DO, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2426 W BROADWAY AVE
MINNEAPOLIS MN
55411-1735
US

IV. Provider business mailing address

2426 W BROADWAY AVE
MINNEAPOLIS MN
55411-1735
US

V. Phone/Fax

Practice location:
  • Phone: 612-302-8200
  • Fax:
Mailing address:
  • Phone: 612-302-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: