Thomas D Weston in Wadena - Medical

Thomas D Weston - NPI 1578638029

Thomas D Weston is a Medical in Wadena, Minnesota. Thomas D Weston practices all healthcare services and medical treatments related to Medical. The NPI Number for Thomas D Weston is 1578638029. The last update date is 2008-06-24.

Thomas D Weston's current location address is 4 Deerwood Ave Nw, Wadena, Minnesota. You can contact this provider via phone number 2186311100. The mailing address for Thomas D Weston is 4 Deerwood Ave Nw, Wadena, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas D Weston
Address 4 Deerwood Ave Nw, Wadena, Minnesota
Phone Number 2186311100
Fax Number
Sole Proprietor Y
Credentials PA-C

NPI Number Detail

NPI Number 1578638029
Provider Enumeration Date 2006-11-21
Last Updated Date 2008-06-24

Provider Mailing Address Detail

Address 4 Deerwood Ave Nw
City Wadena
State Minnesota (MN)
Post Code 564821296
Phone Number 2186311100
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PAC0161
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
18709 ND --

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FAQs about Thomas D Weston

What is the unique provider identifier assigned to Thomas D Weston?

The Thomas D Weston has been issued the NPI (National Provider Identifier) 1578638029 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Thomas D Weston's facilities are geographically located?

The facilities of Thomas D Weston are physically situated at the following location: 4 Deerwood Ave Nw, Wadena, MN, 564821296.

What is Thomas D Weston's specialized field of practice, and what is the corresponding taxonomy classification code?

The Thomas D Weston's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.

On what date was the 1578638029 assigned to Thomas D Weston?

The Thomas D Weston was issued its 1578638029 on 2006-11-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Thomas D Weston most recently updated or revised?

The details related to Thomas D Weston, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-24.

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