Thomas Michael Misukanis in Bloomington - Clinical Neuropsychologist

Thomas Michael Misukanis - NPI 1922168244

Thomas Michael Misukanis is a Clinical Neuropsychologist in Bloomington, Minnesota. Thomas Michael Misukanis practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Thomas Michael Misukanis is 1922168244. The last update date is 2020-12-30.

Thomas Michael Misukanis's current location address is 7800 Metro Pkwy, Bloomington, Minnesota. You can contact this provider via phone number 9528760727 and fax number 9528519618. The mailing address for Thomas Michael Misukanis is 7800 Metro Pkwy, Bloomington, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Michael Misukanis
Address 7800 Metro Pkwy, Bloomington, Minnesota
Phone Number 9528760727
Fax Number 9528519618
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1922168244
Provider Enumeration Date 2006-12-08
Last Updated Date 2020-12-30

Provider Mailing Address Detail

Address 7800 Metro Pkwy
City Bloomington
State Minnesota (MN)
Post Code 554251514
Phone Number 9528760727
Fax Number 9528519618

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 1929
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
460980800 MN --

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FAQs about Thomas Michael Misukanis

Could you share the physical location details of Thomas Michael Misukanis?

The Thomas Michael Misukanis is situated at 7800 Metro Pkwy, in the city of Bloomington, state of MN, with the zip code 554251514.

Could you please share the complete physical address where Thomas Michael Misukanis is geographically located?

The Thomas Michael Misukanis is physically situated at the following location: 7800 Metro Pkwy, Bloomington, MN, 554251514.

What is Thomas Michael Misukanis's area of expertise and its corresponding taxonomy classification?

The Thomas Michael Misukanis's field of specialization is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1922168244 to Thomas Michael Misukanis?

The Centers for Medicare & Medicaid Services originally issued the 1922168244 to Thomas Michael Misukanis on 2006-12-08.

As of what date were the details pertaining to Thomas Michael Misukanis last refreshed?

The information related to the Thomas Michael Misukanis, including its address, specialty, and other relevant details, was last updated on 2020-12-30.

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