Individual
MR. THOMAS ERIC PAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
200 ELM ST N, ONAMIA, MN 56359-7901
(320) 532-3154
(320) 532-3111
Mailing address
10 FOURTH AVE SE, GLENWOOD, MN 56334-1820
(320) 634-4521
(320) 634-2244
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9574
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258696700
—
MN
01
—
NA9091026947
PREFERRED ONE
MN
Enumeration date
05/17/2006
Last updated
12/09/2015
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