Individual
DR. THOMAS REID HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 DELAWARE ST SE, MMC 295 - UNIV MINNESOTA NEUROLOGY, MINNEAPOLIS, MN 55455-0341
(612) 625-9900
(612) 625-7950
Mailing address
420 DELAWARE ST SE, MMC 295 - UNIV MINNESOTA NEUROLOGY, MINNEAPOLIS, MN 55455-0341
(612) 625-9900
(612) 625-7950
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
026400-8
MN
2084N0400X
Neurology Physician
038795
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00612708A
—
GA
Enumeration date
09/19/2006
Last updated
05/29/2012
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