Provider Demographics
NPI:1497814974
Name:UROLOGIC PHYSICIANS, P.A.
Entity Type:Organization
Organization Name:UROLOGIC PHYSICIANS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOPPMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:952-920-7660
Mailing Address - Street 1:6363 FRANCE AVE S
Mailing Address - Street 2:SUITE 500
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2129
Mailing Address - Country:US
Mailing Address - Phone:952-920-7660
Mailing Address - Fax:952-920-2049
Practice Address - Street 1:6363 FRANCE AVE S
Practice Address - Street 2:SUITE 500
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2129
Practice Address - Country:US
Practice Address - Phone:952-920-7660
Practice Address - Fax:952-920-2049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN202208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNC00565Medicare ID - Type UnspecifiedMEDICARE NUMBER