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Individual

LINDY THAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1983 SLOAN PL STE 1, SAINT PAUL, MN 55117-2095
(651) 326-5700
Mailing address
1983 SLOAN PL STE 1, SAINT PAUL, MN 55117-2095

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD43493
TN
208000000X
Pediatrics Physician
MD442767
PA
208000000X
Pediatrics Physician
Primary
MD456456
DC
2080P1004X
Physician Nutrition Specialist (Pediatrics)
65308
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
65308
MINNESOTA MEDICAL LICENSE
MN
01
MD456456
DC MEDICAL LICENSE
DC
Enumeration date
01/04/2007
Last updated
04/21/2025
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