Provider Demographics
NPI:1457374035
Name:HOFFMANN, ANDREW A (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:A
Last Name:HOFFMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:502 2ND ST SW
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-3365
Mailing Address - Country:US
Mailing Address - Phone:320-235-7232
Mailing Address - Fax:320-231-8609
Practice Address - Street 1:502 2ND ST SW
Practice Address - Street 2:SUITE 1
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-3365
Practice Address - Country:US
Practice Address - Phone:320-235-7232
Practice Address - Fax:320-231-8609
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN45553207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHP38854OtherHEALTH PARTNERS
MNP00008360OtherRR MEDICARE
MN01-14034OtherMEDICA
MN171679OtherUCARE
MN226M6H0OtherBLUE CROSS BLUE SHIELD
MN325101845OtherPRIMEWEST
MNMR1081034258OtherPREFERRED ONE
MN1936369OtherARAZ
MN068425200Medicaid
MN01-14034OtherMEDICA
MN068425200Medicaid