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Individual
DR. THOMAS HOWARD BRACKEN
Active
Individual
DR. THOMAS HOWARD BRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25608
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-19433
MEDICA ISLE CLINIC
MN
01
—
01-19434
MEDICA ONAMIA CLINIC
MN
01
—
01-29391
MEDICA HILLMAN CLINIC
MN
01
—
06F85BR
BLUE CROSS HOSPITAL
MN
01
—
108798
UCARE
MN
05
—
18358
—
ND
05
—
225208200
—
MN
01
—
33524BR
BLUE CROSS
MN
05
—
7703540
—
SD
01
—
HP20616
HEALTH PARTNERS
MN
01
—
NA9090733003
PREFERRED ONE
MN
Enumeration date
03/14/2006
Last updated
09/05/2014
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