Individual
THOMAS N GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(952) 992-5316
Mailing address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
(612) 624-8176
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
29954
IA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
49727
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114819
—
IA
01
—
16955
WELLMARK BCBS
IA
Enumeration date
09/16/2005
Last updated
09/18/2018
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