Individual
DR. RICHARD DOUGLAS THORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11215 DAKOTAH ST NW, COON RAPIDS, MN 55433-2563
(763) 208-5182
Mailing address
11215 DAKOTAH ST NW, COON RAPIDS, MN 55433-2563
(763) 208-5182
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
24128
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238098600
—
MN
Enumeration date
08/31/2006
Last updated
07/08/2007
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