Individual
THOMAS G COHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
166 19TH STREET SOUTH, SUITE 100, SARTELL, MN 56377-2154
(320) 251-0609
(320) 251-3806
Mailing address
PO BOX 1450, MINNEAPOLIS, MN 55485-6035
(952) 542-8553
(952) 513-6880
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
42304
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
457430800
—
MN
Enumeration date
06/14/2006
Last updated
06/11/2014
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