Provider Demographics
NPI:1801823711
Name:CLOHISY, DENIS REGIS (MD)
Entity type:Individual
Prefix:
First Name:DENIS
Middle Name:REGIS
Last Name:CLOHISY
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 1:909 FULTON ST SE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455-4800
Mailing Address - Country:US
Mailing Address - Phone:612-672-7422
Mailing Address - Fax:612-676-8992
Practice Address - Street 1:909 FULTON ST SE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-4800
Practice Address - Country:US
Practice Address - Phone:612-672-7422
Practice Address - Fax:612-672-7422
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN34771207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1009075OtherPREFERRED ONE
MNHP22027OtherHEALTHPARTNERS
MN09-24466OtherMEDICA CHOICE
MN09-00027OtherMEDICA PRIMARY
MN101539OtherUCARE
MN773068300Medicaid
MN768067OtherARAZ
IA0971481Medicaid
MN2T384CLOtherBCBS
MN09-74781OtherMEDICA PRIMARY
MN773068300Medicaid
MN09-74781OtherMEDICA PRIMARY
MN1009075OtherPREFERRED ONE
MN101539OtherUCARE