Individual
MR. THOMAS STEVEN INGEBRIGTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
(763) 236-1066
Mailing address
PO BOX 43, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13970
MN
Other
Enumeration date
02/09/2022
Last updated
07/30/2024
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