Sutton, Thomas Matthew

Sutton, Thomas Matthew is an individual health care provider with primary practice located at 2530 Chicago Ave Ste 500, Minneapolis MN 55404-4291. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Sutton, Thomas Matthew can be contacted via phone (612) 813-8800.

Contact Information

Primary practice address
2530 Chicago Ave Ste 500 Minneapolis MN 55404-4291
Fax: (612) 813-8825
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 24123 Minnesota

Profile Details

NPI number 1922047604
LBN Legal business name Sutton, Thomas Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Apr 4th, 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 1922047604 NPPES
Wisconsin MEDICAID 30391000
Wisconsin MEDICAID 616387400

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