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Individual

MR. THOMAS EDWARD PLASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
606 HIGHWAY 123 W, SANDSTONE, MN 55072-5060
(320) 245-5355
(320) 216-7638
Mailing address
PO BOX 26, SANDSTONE, MN 55072-0026
(320) 245-5355
(320) 216-7638

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
H948-094-003-421
MN

Other

Enumeration date
01/31/2025
Last updated
01/31/2025
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