Laedtke, Thomas William

Laedtke, Thomas William is an individual health care provider with primary practice located at 7701 York Ave S Suite 180, Edina MN 55435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Laedtke, Thomas William can be contacted via phone (952) 927-7810.

Contact Information

Primary practice address
7701 York Ave S Suite 180 Edina MN 55435
Phone: (952) 927-7810
Fax: (952) 927-6309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 35437 Minnesota

Profile Details

NPI number 1679532022
LBN Legal business name Laedtke, Thomas William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 12th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679532022 NPPES
Minnesota Other 3300001 MEDICA CHOICE
Minnesota Other 658775 MEDICA CHOICE
Minnesota Other 52A92LA MEDICA CHOICE
Minnesota Other 106122 MEDICA CHOICE
Minnesota Other 0256006 MEDICA CHOICE
Minnesota Other HP22302 MEDICA CHOICE
Minnesota Other 119367C626 MEDICA CHOICE
Minnesota Other 3300003 MEDICA CHOICE
Minnesota Other 960541013563 MEDICA CHOICE
Minnesota Other 410999025 MEDICA CHOICE
Minnesota MEDICAID 894720100 MEDICA CHOICE

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