Organization
VICKI THOMSON PA
Active
Other names
EDINA PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICKI THOMSON MD (OWNER)
(952) 927-7337
Entity
Organization
Contact information
Practice address
7380 FRANCE AVE S, EDINA, MN 55435-4535
(952) 927-7337
(952) 927-8610
Mailing address
7025 FRANCE AVE S STE 100, EDINA, MN 55435-4215
(952) 927-7337
(952) 927-8610
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1101
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106659
UCARE
MN
01
—
16745
MHP
MN
01
—
49882ED
BCBS
MN
01
—
8341265
AETNA
MN
05
—
932213200
—
MN
Enumeration date
12/19/2006
Last updated
08/29/2019
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