Stillman, M. Thomas

Stillman, M. Thomas is an individual health care provider with primary practice located at 701 Park Ave R7, Minneapolis MN 55415-1623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Stillman, M. Thomas can be contacted via phone (612) 873-2300.

Contact Information

Primary practice address
701 Park Ave R7 Minneapolis MN 55415-1623
Fax: (612) 904-4358
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 16985 Minnesota

Profile Details

NPI number 1730129503
LBN Legal business name Stillman, M. Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Sep 13th, 2012 - about 12 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 1730129503 NPPES
Minnesota MEDICAID 945887500

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