Individual
MR. THOMAS BLAIR MATHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12 6TH AVE SW, BOWMAN, ND 58623-4518
(701) 523-3226
(701) 523-7107
Mailing address
12 6TH AVE SW, BOWMAN, ND 58623-4518
(701) 523-3226
(701) 523-7107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
53815
MN
207Q00000X
Family Medicine Physician
Primary
7998
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10597
—
ND
Enumeration date
06/10/2005
Last updated
01/14/2025
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