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Contact Information

THOMAS J GENDRON, CNOR, OPA-C
775 PRAIRIE CENTER DR
SUITE 250
EDEN PRAIRIE, MN55344-7314
 Phone: 952-944-2519
 Fax: 952-944-0460
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

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

NPI # 1659488625
Status Active
Credentials CNOR, OPA-C
Entity Individual
Enumeration date 08/24/2006
Last updated 05/24/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 1110737
  • Other 55A73GE BLUE CROSS BLUE SHIELD
  • Other HP49823 HEALTHPARTNERS
  • Other 969991001287 PREFERREDONE
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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