Provider Demographics
NPI:1194758102
Name:RASMUSSEN, PATRICIA I (MD)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:I
Last Name:RASMUSSEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:IONE
Other - Last Name:FREUND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:460 5TH STREET N
Mailing Address - Street 2:DASSEL CLINIC
Mailing Address - City:DASSEL
Mailing Address - State:MN
Mailing Address - Zip Code:55325
Mailing Address - Country:US
Mailing Address - Phone:320-275-3358
Mailing Address - Fax:320-693-3290
Practice Address - Street 1:460 5TH STREET N
Practice Address - Street 2:
Practice Address - City:DASSEL
Practice Address - State:MN
Practice Address - Zip Code:55325
Practice Address - Country:US
Practice Address - Phone:320-275-3358
Practice Address - Fax:320-693-3290
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN39855207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN444726300Medicaid
G58598Medicare UPIN