Individual
PETER JON THURNAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1575 20TH STREET NORTHWEST, SUITE 102, FARIBAULT, MN 55021-2932
(507) 334-6433
(507) 334-0044
Mailing address
1575 20TH STREET NW, SUITE 102, FARIBAULT, MN 55021-2932
(507) 334-6433
(507) 334-0044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11586
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856415900
—
MN
Enumeration date
03/27/2007
Last updated
01/06/2015
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