Individual
DR. CORY SCOTT THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
408 17TH AVE, TWO HARBORS, MN 55616-1250
(218) 834-3053
(218) 834-3053
Mailing address
2230 FREDERICK ST, DULUTH, MN 55803-1453
(218) 525-0084
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3083
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4C296TH
BLUE SHIELD
MN
Enumeration date
09/16/2006
Last updated
07/08/2007
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