Individual
JON V. THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1687 E DIVISION ST, RIVER FALLS, WI 54022-1571
(715) 425-6701
Mailing address
720 WASHINGTON AVE SE STE 300, MINNEAPOLIS, MN 55414-2904
(612) 672-7422
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
32769
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000010
MEDICA PRIMARY
MN
01
—
1000216
PREFERREDONE
MN
01
—
102389
UCARE
MN
01
—
1028100
MEDICA CHOICE
MN
01
—
20852
AMERICA'S PPO
MN
01
—
31933200
MEDICAID - WISCONSIN
WI
01
—
38T56TH
BLUE SHIELD
MN
05
—
608795700
—
MN
Enumeration date
08/10/2005
Last updated
12/03/2019
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