Basic Information
Provider Information
NPI: 1073805008
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HORRIGAN
FirstName: PATRICK
MiddleName: B
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8170 33RD AVE S
Address2: MS 21110Q
City: BLOOMINGTON
State: MN
PostalCode: 554254516
CountryCode: US
TelephoneNumber: 6512548300
FaxNumber: 6512548379
Practice Location
Address1: 435 PHALEN BLVD
Address2:  
City: SAINT PAUL
State: MN
PostalCode: 551305302
CountryCode: US
TelephoneNumber: 6512548300
FaxNumber: 6512548379
Other Information
ProviderEnumerationDate: 05/10/2011
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X143822CAN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000X62821MNY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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