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Individual

THOMAS M MATH

Active
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Individual

THOMAS M MATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43423
MN
207RI0200X
Infectious Disease Physician
Primary
43423
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04182001
MMSI
01
098400100
MEDICAL ASSISTANCE MA
01
1027105
PREFERRED ONE
01
110223906
RR MEDICARE
01
1268923
ARAZ GROUP AMERICAS PPO
01
151838
UCARE
01
2116692
FIRST HEALTH PLAN
01
41F23MA
BLUE CROSS BLUE SHIELD
01
9200084
MEDICA HEALTH PLANS
01
HP32893
HEALTH PARTNERS
Enumeration date
10/25/2005
Last updated
11/28/2011
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