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Individual

DR. THOMAS JOHN BRYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
424 W STATE HIGHWAY 5, WACONIA, MN 55387-1795
(952) 442-4461
(952) 442-1547
Mailing address
424 W STATE HIGHWAY 5, WACONIA, MN 55387-1795
(952) 442-4461
(952) 442-1547

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3012
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
915642900
MN
Enumeration date
03/28/2006
Last updated
06/30/2026
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