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Individual

DR. MICHAEL JOHN THOENNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
131 MAIN AVENUE W, WINSTED, MN 55395-0599
(320) 485-4344
(320) 485-4734
Mailing address
PO BOX 599, WINSTED, MN 55395-0599
(320) 485-4344
(320) 485-4734

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D08971
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
927318200
MN
Enumeration date
06/29/2006
Last updated
07/09/2007
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