Individual
PAUL HOOGERVORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE # R200, MINNEAPOLIS, MN 55454-1450
(612) 273-7951
Mailing address
2450 RIVERSIDE AVE # R200, MINNEAPOLIS, MN 55454-1450
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
67388
MN
Other
Enumeration date
04/06/2019
Last updated
05/26/2020
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