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Individual

DR. THOMAS FREDERICK GILLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D,

Contact information

Practice address
300 PARK ST S, FAIRFAX, MN 55332-3153
(507) 426-7228
Mailing address
300 PARK ST S, P.O. BOX 529, FAIRFAX, MN 55332-3153
(507) 426-7228

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18493
MN

Other

Enumeration date
09/06/2007
Last updated
09/06/2007
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