Individual
DR. JOHN MARTIN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(218) 739-2221
(218) 739-5501
Mailing address
3505 RIVERSHORE DR, MOORHEAD, MN 56560-5554
(218) 236-5586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20912
MN
207Q00000X
Family Medicine Physician
3400
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
422772700
—
MN
Enumeration date
08/31/2006
Last updated
07/08/2007
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