DR. Thomas Keller Pettus M.D.

  • NPI 1811066053
According to our database, the NPI number for DR. Thomas Keller Pettus M.D. is 1811066053 and activated since 17 years ago. DR. Thomas Keller Pettus M.D. is an individual provider who specializes in Geriatric Medicine, and the primary practice location is 3366 Oakdale Ave No Suite 315, Robbinsdale, MN 55422. You can also contact DR. Thomas Keller Pettus M.D. via telephone number is (763) 587-7900. Provider NPI information was last updated on 01/07/2009.

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Overview of DR. Thomas Keller Pettus M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 11/06/2006
  • Last updated: 01/07/2009

Primary Scrop of Practice

  • Taxonomy Code: 207RG0300X
  • Specialty: Geriatric Medicine
  • License Number: 26453
  • License State: MN

Provider Mailing Address

  • Address: 3366 Oakdale Ave No Suite 315
    North Clinic
    Robbinsdale, MN 55422
  • Phone: 763-587-7900
  • Fax: 763-587-7989

Provider Practice Location

  • Address: 3366 Oakdale Ave No Suite 315
    Suite 315
    Robbinsdale, MN 55422
  • Phone: 763-587-7900
  • Fax: 763-587-7989

Scope of Practice

  • Taxonomy Code: 207RG0300X
  • Specialty: Geriatric Medicine
  • License Number: 26453
  • License State: MN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 737568900
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MN
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Thomas Keller Pettus M.D.?
  • A: The npi number for DR. Thomas Keller Pettus M.D. is 1811066053.
  • Q: What are DR. Thomas Keller Pettus M.D.'s specialties?
  • A: DR. Thomas Keller Pettus M.D.'s specialties are Geriatric Medicine and different specialities.
  • Q: What is the medical license for DR. Thomas Keller Pettus M.D.?
  • A: The medical license number for DR. Thomas Keller Pettus M.D. is 26453 and issued in MN in USA.
  • Q: Where is DR. Thomas Keller Pettus M.D. practice location?
  • A: DR. Thomas Keller Pettus M.D. is practicing at 3366 Oakdale Ave No Suite 315, Robbinsdale, MN 55422.
  • Q: How to contact DR. Thomas Keller Pettus M.D.?
  • A: You can contact DR. Thomas Keller Pettus M.D. via 763-587-7900.
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