Provider Demographics
NPI:1811911787
Name:DUFFY, TERRENCE JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:JOSEPH
Last Name:DUFFY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2436 IRVING AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55405-2542
Mailing Address - Country:US
Mailing Address - Phone:612-377-3220
Mailing Address - Fax:612-377-3220
Practice Address - Street 1:4801 VETERANS DR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-2015
Practice Address - Country:US
Practice Address - Phone:320-255-6429
Practice Address - Fax:320-255-6406
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2009-12-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY214104208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology