Individual
THOMAS B FALLOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
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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