Individual
THOMAS M MATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVE N, ST CLOUD, MN 56303
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, ST CLOUD, MN 56303
(320) 252-5131
(320) 240-2118
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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