Provider Demographics
NPI:1407329139
Name:HOROWITZ, ARTHUR JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:JOSEPH
Last Name:HOROWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 EDGEMOOR DR
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55305-4852
Mailing Address - Country:US
Mailing Address - Phone:952-484-8131
Mailing Address - Fax:
Practice Address - Street 1:830 EDGEMOOR DR
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55305-4852
Practice Address - Country:US
Practice Address - Phone:952-935-2129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-04
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN18599207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN18599OtherMINNESOTA BOARD OF MEDICAL PRACTICE PHYSICIAN LICENSE