Individual
DR. THOMAS E APPLEGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 828-2861
Mailing address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 828-2861
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43598
MN
207Q00000X
Family Medicine Physician
7207A
WY
207Q00000X
Family Medicine Physician
ME122990
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122039000
—
WY
01
—
53D1045098
CLIA
WY
01
—
7207A
WYOMING MEDICAL LICENSE
WY
01
—
W20539
MEDICARE GROUP ID NUMBER
WY
Enumeration date
09/27/2006
Last updated
12/31/2024
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