Individual
THOMAS DAN HUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
4608 CAMBRIDGE DR, EAGAN, MN 55122-2709
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
103482
MN
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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