Individual
THOMAS WARD PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 BETHEL DR, SAINT PAUL, MN 55112-6902
(651) 638-6400
Mailing address
18071 BEARPATH TRL, EDEN PRAIRIE, MN 55347-3466
(612) 202-2369
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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