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Contact Information

THOMAS J DAVIS
6500 EXCELSIOR BLVD
SAINT LOUIS PARK, MN55426-4702
 Phone: 952-993-3246
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for THOMAS J DAVIS · (Male)

NPI Number 1033193727
Status Active
Credentials
Entity Individual
Enumeration date 12/06/2005
Last updated 06/15/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 26771
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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