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Patrick Joseph Tarnowski

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

9325 Upland Ln N, Maple Grove, MN 55369-4200

PECOS Enrollment

Based on the most recent information from CMS, provider Patrick Joseph Tarnowski does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1811945066
Provider Type
Individual
Full Name
Tarnowski, Patrick Joseph
Title
Mr.
Credential
PT, SCS

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/4/2006
Last Updated
11/26/2013

Contact Information

Practice Location

9325 Upland Ln N, Maple Grove, MN 55369-4200

(763) 315-0466

Unlisted Fax

Mailing Location

4740 Bassett Creek Dr, Golden Valley, MN 55422-4168

(612) 247-3047

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 4417 Minnesota

Provider Identifiers

ID	Description	Issuer
ID 947973200	Description Medicaid	Issuer Unlisted Minnesota

Patrick Joseph Tarnowski

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Jones, Mackenzie Nicole

Branchaud, Stephanie

Kovash, Dillan Thomas

Cameron, Kellen James

Eenhuis, Zachary Thomas

Volin, Brett

Stensgard, Karissa A

Eichten, Julie Ann

Douglass, Tyler J

Hermes, Mark Alan