Organization
ROCHESTER FAMILY MEDICINE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY J HOFFMAN (CLINIC ADMINISTRATOR)
(507) 288-0124
Entity
Organization
Contact information
Practice address
40 16TH ST SE STE E, ROCHESTER, MN 55904-7987
(507) 288-0124
(507) 288-5383
Mailing address
40 16TH ST SE STE E, ROCHESTER, MN 55904-7987
(507) 288-0124
(507) 288-5383
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
017145
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029345
—
MN
05
—
421521400
—
MN
Enumeration date
06/27/2007
Last updated
10/03/2007
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