Provider Demographics
NPI:1174726541
Name:HOPFENSPIRGER, MICHAEL TODD (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:TODD
Last Name:HOPFENSPIRGER
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 1:675 WATER ST
Mailing Address - Street 2:
Mailing Address - City:EXCELSIOR
Mailing Address - State:MN
Mailing Address - Zip Code:55331-3072
Mailing Address - Country:US
Mailing Address - Phone:952-925-5626
Mailing Address - Fax:952-925-0223
Practice Address - Street 1:675 WATER ST
Practice Address - Street 2:
Practice Address - City:EXCELSIOR
Practice Address - State:MN
Practice Address - Zip Code:55331-3072
Practice Address - Country:US
Practice Address - Phone:952-925-5626
Practice Address - Fax:952-925-0223
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN16751207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN50409OtherMD LICENSE