Individual
ADAM THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4050 COON RAPIDS BLVD, COON RAPIDS, MN 55433
(763) 236-7144
(763) 236-7733
Mailing address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 835-9880
(952) 857-1554
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
45628
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288673100
—
MN
01
—
45628
MN MEDICAL LICENSE
MN
Enumeration date
03/20/2006
Last updated
06/04/2010
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