Misukanis, Thomas Michael

Misukanis, Thomas Michael is an individual health care provider with primary practice located at 7800 Metro Pkwy Suite 300, Bloomington MN 55425-1514. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Misukanis, Thomas Michael can be contacted via phone (952) 876-0727.

Contact Information

Primary practice address
7800 Metro Pkwy Suite 300 Bloomington MN 55425-1514
Phone: (952) 876-0727
Fax: (952) 851-9618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1929 Colorado
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP3921 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1929 Colorado
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X LP3921 Minnesota

Profile Details

NPI number 1922168244
LBN Legal business name Misukanis, Thomas Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Dec 30th, 2020 - about 4 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 1922168244 NPPES
Minnesota MEDICAID 460980800

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