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Individual

PATRICK J FLYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6025 LAKE RD, STE 110, WOODBURY, MN 55125-1709
(651) 735-7414
(651) 735-7414
Mailing address
6025 LAKE RD, STE 110, WOODBURY, MN 55125-1709
(651) 735-7414
(651) 735-7414

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
23037
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003690
PREFERRED ONE
MN
01
1106312
UCARE MN
MN
01
23323
AMERICA'S PPO
MN
05
30613600
WI
01
3600777
MEDICA
MN
05
396085400
MN
05
406272800
MD
01
8T402FL
BLUE CROSS BLUE SHIELD MN
MN
01
HP13298
HEALTHPARTNERS
MN
Enumeration date
03/31/2006
Last updated
04/26/2012
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