Individual
THOMAS MICHAEL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15290 PENNOCK LN, APPLE VALLEY, MN 55124-7163
(952) 431-8500
(952) 431-6966
Mailing address
8100 34TH AVE S, MS 2111OQ, BLOOMINGTON, MN 55425-1672
(952) 431-8500
(952) 431-6966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29075
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630582200
—
MN
Enumeration date
01/27/2006
Last updated
06/16/2009
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