Provider Demographics
NPI:1548220940
Name:HOOK, PATTI JEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:PATTI
Middle Name:JEAN
Last Name:HOOK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 ELM ST N
Mailing Address - Street 2:
Mailing Address - City:ONAMIA
Mailing Address - State:MN
Mailing Address - Zip Code:56359-7901
Mailing Address - Country:US
Mailing Address - Phone:320-532-3154
Mailing Address - Fax:320-532-3111
Practice Address - Street 1:200 ELM ST N
Practice Address - Street 2:
Practice Address - City:ONAMIA
Practice Address - State:MN
Practice Address - Zip Code:56359-7901
Practice Address - Country:US
Practice Address - Phone:320-532-3154
Practice Address - Fax:320-532-3111
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN33777207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN06F83HOOtherBLUE CROSS HOSPITAL
MN1M189HOOtherBLUE CROSS CLINICS
MNHP20619OtherHEALTH PARTNERS
MNNA9090733002OtherPREFFERED ONE
MN114644OtherUCARE
ND18358Medicaid
MN01-22835OtherMEDICA ISLE
MN01-22836OtherMEDICA ONAMIA
MN01-29394OtherMEDICA HILLMAN
MN649803500Medicaid
MN01-22836OtherMEDICA ONAMIA
MNHP20619OtherHEALTH PARTNERS
MN1M189HOOtherBLUE CROSS CLINICS
MN114644OtherUCARE
ND18358Medicaid