Individual
THOMAS V. SOUKUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 273-8383
Mailing address
4707 HIGHWAY 61 N STE 116, WHITE BEAR LAKE, MN 55110-3227
(651) 247-4727
Taxonomy
Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
58223
MN
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
74732-20
WI
Other
Enumeration date
05/09/2011
Last updated
02/19/2025
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