Individual
DR. IRVING D THORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7920 OLD CEDAR AVE S, BLOOMINGTON, MN 55425-1207
(952) 428-1800
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-2500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30311
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
736387700
—
MN
Enumeration date
02/17/2006
Last updated
11/28/2011
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