Provider Demographics
NPI:1407071053
Name:HOFFMAN, ROBERT A (ACUPUNCTURE PHYS)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:A
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:ACUPUNCTURE PHYS
Other - Prefix:MR
Other - First Name:ROBERT
Other - Middle Name:A
Other - Last Name:HOFFMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ACUPUNCTURE LIC
Mailing Address - Street 1:19685 PILOT KNOB RD STE 260
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55024-7238
Mailing Address - Country:US
Mailing Address - Phone:651-478-6988
Mailing Address - Fax:651-478-6990
Practice Address - Street 1:19685 PILOT KNOB RD STE 260
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55024-7238
Practice Address - Country:US
Practice Address - Phone:651-478-6988
Practice Address - Fax:651-478-6990
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0000753171100000X
MN2002171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist