Individual
THOMAS JOSEPH STYRVOKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 OLSEN BLVD, COKATO, MN 55321-4359
(320) 286-2123
(320) 286-6294
Mailing address
2925 CHICAGO AVE, MR 10809, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
(612) 262-4258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38658
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788524500
—
MN
Enumeration date
04/06/2006
Last updated
03/11/2021
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