Individual
SHEILA C THORSTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1315 E 24TH ST, MINNEAPOLIS, MN 55404-3975
(612) 721-9800
(612) 721-2904
Mailing address
1315 E 24TH ST, MINNEAPOLIS, MN 55404-3975
(612) 721-9800
(612) 721-2904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11751
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358634100
—
MN
Enumeration date
05/22/2006
Last updated
08/30/2012
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