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Individual

DR. MICHAEL D HOOLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1983 SLOAN PL, SUITE 1, SAINT PAUL, MN 55117-2087
(651) 326-5700
(651) 326-5715
Mailing address
1983 SLOAN PL, SUITE 1, SAINT PAUL, MN 55117-2087
(651) 326-5700
(651) 326-5715

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
051282
CO
207Q00000X
Family Medicine Physician
29354
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
025510
KAISER COMMERCIAL NUMBER
CO
05
17603820
CO
Enumeration date
04/10/2006
Last updated
02/17/2015
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