Individual
THOMAS MICHAEL TEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7400 FRANCE AVE S STE 107, EDINA, MN 55435-4738
(952) 832-5252
(952) 548-5254
Mailing address
7400 FRANCE AVE S STE 107, EDINA, MN 55435-4738
(952) 832-5252
(952) 548-5254
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30533
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
810803000
—
MN
Enumeration date
08/03/2006
Last updated
10/24/2011
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