Healthcare Provider Details

I. General information

NPI: 1548220940
Provider Name (Legal Business Name): PATTI JEAN HOOK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 09/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 ELM ST N
ONAMIA MN
56359-7901
US

IV. Provider business mailing address

200 ELM ST N
ONAMIA MN
56359-7901
US

V. Phone/Fax

Practice location:
  • Phone: 320-532-3154
  • Fax: 320-532-3111
Mailing address:
  • Phone: 320-532-3154
  • Fax: 320-532-3111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number33777
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: