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Individual

MR. PETER THOMPSON HOFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, LP

Contact information

Practice address
545 HIGHWAY 23 E STE 202, MILACA, MN 56353-1183
(320) 982-1110
Mailing address
545 HIGHWAY 23 E STE 202, MILACA, MN 56353-1183
(320) 982-1110

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2073
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01T48HO
BLUE CROSS
MN
05
097517600
MN
Enumeration date
01/04/2007
Last updated
04/11/2024
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