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

Patrick Self, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1225458300

Patrick Self, MD is an Interventional Radiology in LA Crosse, Wisconsin. Graduated from University of Minnesota Medical School in 2014, 12 years ago. Practices with Gundersen Lutheran Medical Center Inc, a 896-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
12
Trained at
University of Minnesota Medical School
Licensed in
MN, WI
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1836 S Ave
LA Crosse, WI 54601-5429
Phone: (608) 782-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 73472 (WI)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 62973 (MN)

Record details

NPI number1225458300
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 16, 2014
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020
Mailing address1836 South Ave, La Crosse, WI 54601-5429

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2014 (12 years in practice)
Group practice Gundersen Lutheran Medical Center Inc — 896 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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