Individual
THOMAS M POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
GNP
Contact information
Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3400
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
633535
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
R173337-6
MN
Other
Enumeration date
01/30/2006
Last updated
03/17/2021
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