Individual
DR. RICHARD JAMES THOUIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
209 MCLEAN AVE, COLERAINE, MN 55722-0756
(218) 245-1278
(218) 245-1333
Mailing address
PO BOX 756, 209 MCLEAN AVE, COLERAINE, MN 55722-0756
(218) 245-1278
(218) 245-1333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8501
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00514039
UNITED CONCORDIA
—
01
—
73440TH
BLUE CROSS BLUE SHIELD
MN
Enumeration date
01/19/2006
Last updated
07/08/2007
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