Individual
MR. MICHAEL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA, MSW
Contact information
Practice address
3548 BRYANT AVE SOUTH, MINNEAPOLIS, MN 55408
(612) 822-8227
Mailing address
3548 BRYANT AVE S, MINNEAPOLIS, MN 55408-4119
(612) 600-6332
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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