Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Patrick Raymond Hadorn, DO

Individual provider Internal Medicine Physician · NPI 1467745927

Dr. Patrick Raymond Hadorn, DO is an Internal Medicine in Maple Grove, Minnesota. Qualified in 2011, 15 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Kentucky and Minnesota.

Years since qualifying
15
Licensed in
KY, MN
In the registry since
2011
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

9555 Upland Ln N
Maple Grove, MN 55369-4485
Phone: (952) 993-1440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 Rose St, Lexington, KY 40536-0001 — (859) 323-6561

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 59408 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence R2758 (KY)
Pediatrics Physician Taxonomy 208000000X · Licence 59408 (MN)

Record details

NPI number1467745927
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 17, 2011
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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