Thomas J Diem is a Specialist in Fridley, Minnesota. Thomas J Diem practices all healthcare services and medical treatments related to Specialist. The NPI Number for Thomas J Diem is 1023107224. The last update date is 2007-07-08.
Thomas J Diem's current location address is 500 Osborne Rd Ne, Fridley, Minnesota. You can contact this provider via phone number 7637808927 and fax number 7637801286. The mailing address for Thomas J Diem is 500 Osborne Rd Ne, Fridley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas J Diem |
|---|---|
| Address | 500 Osborne Rd Ne, Fridley, Minnesota |
| Phone Number | 7637808927 |
| Fax Number | 7637801286 |
| Sole Proprietor | Y |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1023107224 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 500 Osborne Rd Ne |
|---|---|
| City | Fridley |
| State | Minnesota (MN) |
| Post Code | 554322765 |
| Phone Number | 7637808927 |
| Fax Number | 7637801286 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 24664 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1305105 | MN | MEDICA ID | |
| 03507AE | MN | BCBS ID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Thomas J Diem by the Centers for Medicare & Medicaid Services?
The Thomas J Diem has been issued the NPI (National Provider Identifier) 1023107224, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Thomas J Diem is located?
The Thomas J Diem is situated at the following address: 500 Osborne Rd Ne, Fridley, MN, 554322765.
What is Thomas J Diem's area of expertise and its corresponding taxonomy classification?
The Thomas J Diem's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1023107224 to Thomas J Diem?
The Thomas J Diem received its 1023107224 assignment from the Centers for Medicare & Medicaid Services on 2006-10-12.
As of what date were the details pertaining to Thomas J Diem last refreshed?
The information related to the Thomas J Diem, including its address, specialty, and other relevant details, was last updated on 2007-07-08.