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THOMAS W PELTOLA MD

Physicians Radiology Body Imaging

Provider NPI: 1861484040

Provider Information:
 THOMAS W PELTOLA MD
Gender: M
Not Sole Proprietor

Practice Location:
3300 OAKDALE AVE N  ROBBINSDALE, MN 55422-2926 US
Tel: 763-559-2171  Fax: 763-694-9000

Business Mailing Address:
2800 CAMPUS DR #10 PLYMOUTH, MN 55441-2645 US
Tel: 763-559-2171  Fax: 763-694-9000

NPI Information:
NPI: 1861484040
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2085B0100XPhysicians
Radiology
Body Imaging
MN33813
N2085N0700XPhysicians
Radiology
MN33813
N2085N0904XPhysicians
Radiology
MN33813
Y2085R0202XPhysicians
Radiology
MN33813
N2085U0001XPhysicians
Radiology
MN33813

Other Provider Identifiers:

IssuerNumberStateType
810702500MN05



American Medical Association 2012 taxonomy code information

Code: 2085R0202X

Type:

Classification:



Definition:



MEDICAL JOBS MN - Page 1

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