Individual
THOMAS WILLIAM LAEDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7701 YORK AVE S, SUITE 180, EDINA, MN 55435
(952) 927-7810
(952) 927-6309
Mailing address
7701 YORK AVE S, SUITE 180, EDINA, MN 55435-5845
(952) 927-7810
(952) 927-6309
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35437
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0256006
SELECT CARE
MN
01
—
106122
PATIENT CHOICE
MN
01
—
119367C626
UCARE
MN
01
—
3300001
MEDICA CHOICE
MN
01
—
3300003
MEDICA PRIMARY
MN
01
—
410999025
TRICARE
MN
01
—
52A92LA
BLUE CROSS BLUE SHIELD
MN
01
—
658775
AMERICAS PPO
MN
05
—
894720100
—
MN
01
—
960541013563
PREFERRED ONE
MN
01
—
HP22302
HEALTH PARTNERS
MN
Enumeration date
03/22/2006
Last updated
07/12/2018
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