Individual
DR. THOMAS HOWARD BRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 ELM ST N, ONAMIA, MN 56359-7901
(320) 532-3154
(320) 532-3111
Mailing address
200 ELM ST N, ONAMIA, MN 56359-7901
(320) 532-3154
(320) 532-3111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25608
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-19433
MEDICA ISLE CLINIC
MN
01
—
01-19434
MEDICA ONAMIA CLINIC
MN
01
—
01-29391
MEDICA HILLMAN CLINIC
MN
01
—
06F85BR
BLUE CROSS HOSPITAL
MN
01
—
108798
UCARE
MN
05
—
18358
—
ND
05
—
225208200
—
MN
01
—
33524BR
BLUE CROSS
MN
05
—
7703540
—
SD
01
—
HP20616
HEALTH PARTNERS
MN
01
—
NA9090733003
PREFERRED ONE
MN
Enumeration date
03/14/2006
Last updated
09/05/2014
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