Individual
DR. THOMAS JAMES MCNANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(952) 993-3123
Mailing address
8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
200117
NY
207VM0101X
Maternal & Fetal Medicine Physician
Primary
200117
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01585708
—
NY
Enumeration date
11/01/2006
Last updated
06/29/2016
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