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Contact Information

THOMAS V SOUKUP, DO
909 FULTON ST SE
MINNEAPOLIS, MN55455-4800
 Phone: 612-273-8383
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207PH0002X 17 Physician/Hospice and Palliative Care
Indicates primary specialty

NPI Profile & details for THOMAS V SOUKUP · (Male)

NPI Number 1891087953
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/09/2011
Last updated 02/19/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 58223
  • WI License # 74732-20
Hospital affiliation(s)
  • FAIRVIEW LAKES MEDICAL CENTER - (Acute Care)
    5200 FAIRVIEW BOULEVARD
    WYOMING, MN 55092
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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