Individual
THOMAS T MESDAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
343 E MAIN ST, MONMOUTH, OR 97361
(503) 838-3668
(503) 606-2944
Mailing address
PO BOX 95, MONMOUTH, OR 97361
(503) 838-3668
(503) 606-2944
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
OP00145
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268177
—
OR
Enumeration date
09/08/2006
Last updated
08/03/2011
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