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Individual

DR. RICHARD H THOLEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4825 OLSON MEMORIAL HWY, SUITE 200, MINNEAPOLIS, MN 55422
(763) 545-0443
(763) 545-2784
Mailing address
4825 OLSON MEMORIAL HWY, SUITE 200, MINNEAPOLIS, MN 55422
(763) 545-0443
(763) 545-2784

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
026478
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00836TH
BLUE CROSS
MN
Enumeration date
03/03/2006
Last updated
07/08/2007
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