Healthcare Provider Details

I. General information

NPI: 1699517672
Provider Name (Legal Business Name): ALEXANDER WILLIAM HOHENSTEIN DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2024
Last Update Date: 06/10/2024
Certification Date: 06/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 3RD ST N
WAITE PARK MN
56387-1964
US

IV. Provider business mailing address

2604 ARBOR DR
BUFFALO MN
55313-7543
US

V. Phone/Fax

Practice location:
  • Phone: 320-217-8480
  • Fax:
Mailing address:
  • Phone: 320-380-1132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5156
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: