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Individual
MR. THOMAS ALLEN SULT
Active
Individual
MR. THOMAS ALLEN SULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37054
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-09668
MEDICA
MN
01
—
031216004
PRIME WEST
MN
01
—
110486P539
UCARE
MN
01
—
1219767
ARAZ
MN
01
—
169318P539
UCARE
MN
01
—
1770646937
UNICARE
MN
01
—
31T18IN
BCBS
MN
01
—
376SISU
BLUE CROSS BLUE SHEILD
MN
05
—
534225200
—
MN
01
—
9823046
MEDICA
MN
01
—
HP11557
HEALTH PARTNERS
MN
01
—
MR143-1001629
PREFERRED ONE
MN
Enumeration date
07/07/2005
Last updated
11/11/2015
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