Individual
MR. PATRICK JOSEPH TARNOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, SCS
Contact information
Practice address
9325 UPLAND LN N, MAPLE GROVE, MN 55369-4200
(763) 315-0466
Mailing address
4740 BASSETT CREEK DR, GOLDEN VALLEY, MN 55422-4168
(612) 247-3047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4417
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
947973200
—
MN
Enumeration date
05/04/2006
Last updated
11/26/2013
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