Most Relevant Information
Provider Data
| NPI Number: | 1003551318 |
| Provider Name: | THOMAS HOUGHLAND MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/02/2022 |
| Last Updated: | 05/18/2023 |
Provider Practice Location
420 DELAWARE ST SE
MINNEAPOLIS
MN
554550341
Practice Location Phone/Fax
| Phone: | 6126265589 |
| Fax: |
Provider Mailing Location
6150 WYNNWOOD RD
MINNEAPOLIS
MN
554223344
Provider Mailing Phone/Fax
| Phone: | 7632573807 |
| Fax: |