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Individual
THERON THOMAS HELGERSON
Active
Individual
THERON THOMAS HELGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1398
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264M1NO
BLUE CROSS BLUE SHIELD OF MN
MN
05
—
324224200
—
MN
01
—
6405178
MEDICA
MN
01
—
6B484HE
BLUE CROSS BLUE SHIELD
MN
01
—
HP43508
HEALTHPARTNERS
MN
Enumeration date
11/24/2006
Last updated
08/28/2018
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