Individual
DR. THOMAS JAMES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
404 W CENTRAL ST, SPRINGFIELD, MN 56087
(507) 227-5517
Mailing address
404 W CENTRAL ST, SPRINGFIELD, MN 56087-1212
(507) 227-5517
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
43290
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
488865100
—
MN
Enumeration date
03/14/2006
Last updated
09/23/2014
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