Provider Demographics
NPI:1043301658
Name:CLAFLIN, PATRICK DEAN (MED)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:DEAN
Last Name:CLAFLIN
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:1340 FAIRMOUNT AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105-2301
Mailing Address - Country:US
Mailing Address - Phone:612-725-2195
Mailing Address - Fax:612-467-5309
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-725-2195
Practice Address - Fax:612-467-5309
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN40921225800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist