Drs Catton Wolseth Como & Jacobson Pa

NPI 1003948217 - Dentist - 122300000X

NPI Details
NPI 1003948217
Enumeration Date 03/12/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name THOMAS H THOMAS
Position PRESIDENT
Phone (320) 253-7700
Fax (320) 253-9271
Practice Location
1500 NORTHWAY DRIVE
ST CLOUD MN, 56303, US
Phone (320) 253-7700
Fax (320) 253-9271
Business Location
PO BOX 1659
1500 NORTHWAY DRIVE
ST CLOUD MN, 56302-1659, US
Phone (320) 253-7700
Fax (320) 253-9271
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number 9182
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According to our database, Drs Catton Wolseth Como & Jacobson Pa NPI is 1003948217, taxonomy code is 122300000X and license number is 9182, license state is located at Minnesota. Drs Catton Wolseth Como & Jacobson Pa physically located at 1500 Northway Drive, St Cloud MN, 56303. NPI Number 1033115704 has the healthcare provider type.

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1003948217 NPI number is provided on an as is basis without warranty of any kind. 1003948217 is maintained by the National Plan & Provider Enumeration System. The contents of Drs Catton Wolseth Como & Jacobson Pa are for informational purposes only.