Individual
PETER THORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14500 99TH AVE N, MAPLE GROVE, MN 55369-4730
(763) 898-1000
Mailing address
1211 MEDICAL CENTER DR, NASHVILLE, TN 37232-0044
(615) 322-0417
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
71047
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2017
Last updated
06/15/2022
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