Individual
THOMAS J MARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8170 33RD AVE S, MS 21110X, BLOOMINGTON, MN 55425-4516
(952) 883-7844
(952) 883-6380
Mailing address
8170 33RD AVE S, MS 21110X, BLOOMINGTON, MN 55425-4516
(952) 883-7844
(952) 883-6380
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32321
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
864668600
—
MN
Enumeration date
02/02/2006
Last updated
04/09/2010
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