Individual
DR. J.D. THORESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 S CRESCENT DR, MASON CITY, IA 50401-2926
(641) 494-5350
(641) 494-5403
Mailing address
250 S CRESCENT DR, MASON CITY, IA 50401-2926
(641) 494-5350
(641) 494-5403
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18110
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0044909
—
IA
Enumeration date
10/11/2005
Last updated
12/30/2014
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