Individual
THOMAS B FALLOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
42499
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0600040
MEDICA HEALTH PLANS
—
01
—
1023510
PREFERRED ONE
—
01
—
127844
U CARE
—
01
—
140007661
RR MEDICARE
—
01
—
1927405
FIRST HEALTH PLAN
—
01
—
480677800
MEDICAL ASSISTANCE
—
01
—
85D65FA
BLUE CROSS BLUE SHIELD
—
01
—
996067
ARAZ GROUP AMERICAS PPO
—
01
—
CI1369
RR MEDICARE
—
01
—
HP30505
HEALTH PARTNERS
—
Enumeration date
10/28/2005
Last updated
11/28/2011
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