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Individual

DR. AMY J THORSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2800 CHICAGO AVE S, SUITE 300, MINNEAPOLIS, MN 55407-1353
(651) 225-7855
(651) 225-7878
Mailing address
3433 BROADWAY ST NE STE 115, MINNEAPOLIS, MN 55413-1759
(651) 312-1500
(651) 312-1593

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
44850
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
320789700
MN
Enumeration date
08/05/2006
Last updated
02/26/2018
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