Individual
ANDREW J THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
435 PHALEN BLVD, MAIL STOP 51103H, SAINT PAUL, MN 55130-5302
(651) 254-8300
(651) 254-8379
Mailing address
435 PHALEN BLVD, MAIL STOP 51103H, SAINT PAUL, MN 55130-5302
(651) 254-8300
(651) 254-8379
Taxonomy
Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
Primary
22266
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021882100
—
MN
Enumeration date
02/08/2006
Last updated
05/22/2012
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