Organization
3RD OPINION CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS ALLEN SULT MD (MEDICAL DIRECTOR/OWNER)
(320) 347-1212
Entity
Organization
Contact information
Practice address
7900 CHAPIN DR NE, NEW LONDON, MN 56273-8538
(320) 347-1212
(320) 347-1200
Mailing address
PO BOX 607, NEW LONDON, MN 56273-0607
(320) 347-1212
(320) 347-1200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37054
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
534225200
—
MN
Enumeration date
09/24/2010
Last updated
03/23/2015
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