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Contact Information

THOMAS J DAVIS, MD
404 W CENTRAL ST
SPRINGFIELD, MN56087
 Phone: 507-227-5517
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

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

NPI # 1043288269
Status Active
Credentials MD
Entity Individual
Enumeration date 03/14/2006
Last updated 09/23/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 43290
  • MN Medicaid 488865100
Hospital affiliation(s)
  • MILLE LACS HEALTH SYSTEM - (Critical Access)
    200 NORTH ELM STREET
    ONAMIA, MN 56359
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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