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Individual

STEVEN B THOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
712 SOUTH CASCADE STREET, FERGUS FALLS, MN 56537-2813
(218) 736-8000
(218) 736-8757
Mailing address
712 SOUTH CASCADE STREET, FERGUS FALLS, MN 56537-2813
(218) 736-8000
(218) 736-8757

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
40522
MN
207W00000X
Ophthalmology Physician
7692
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10214
ND
05
641139800
MN
Enumeration date
07/24/2006
Last updated
07/08/2010
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