Individual
DR. JON TOMASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14700 28TH AVE N, SUITE 20, PLYMOUTH, MN 55447-4835
(763) 559-3779
(763) 559-3543
Mailing address
14700 28TH AVE N, SUITE 20, PLYMOUTH, MN 55447-4835
(763) 559-3779
(763) 559-3543
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.089468
OH
207L00000X
Anesthesiology Physician
45049
WI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
35.089468
OH
207LP3000X
Pediatric Anesthesiology Physician
35.089468
OH
207LP3000X
Pediatric Anesthesiology Physician
Primary
52894
MN
Other
Enumeration date
05/03/2006
Last updated
02/01/2011
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