Provider Demographics
NPI:1205805330
Name:HOEFFEL, DANIEL PATRICK (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:PATRICK
Last Name:HOEFFEL
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 1:3715 FAIRWAY PT
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-5020
Mailing Address - Country:US
Mailing Address - Phone:612-219-4254
Mailing Address - Fax:
Practice Address - Street 1:3715 FAIRWAY PT
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-5020
Practice Address - Country:US
Practice Address - Phone:612-219-4254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN42656207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN640957100Medicaid
MN200038492OtherRAILROAD MEDICARE
MNH14477Medicare UPIN
MN200038492OtherRAILROAD MEDICARE