Wambach, Thomas G

Wambach, Thomas G is an individual health care provider with primary practice located at 400 East 3Rd St , Duluth MN 55805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wambach, Thomas G can be contacted via phone (218) 786-1234.

Contact Information

Primary practice address
400 East 3Rd St Duluth MN 55805
Phone: (218) 786-1234
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 45494 Minnesota

Profile Details

NPI number 1558462945
LBN Legal business name Wambach, Thomas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated May 5th, 2011 - about 15 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 1558462945 NPPES
Minnesota Other 142300 UCAREMN
Minnesota Other HP28713 UCAREMN
Minnesota Other 17-00948 UCAREMN
Minnesota MEDICAID 190587200 UCAREMN
Minnesota Other 1027006 UCAREMN
Minnesota MEDICAID 11006 UCAREMN
Minnesota MEDICAID 41091744413 UCAREMN
Minnesota Other 474S7WA UCAREMN

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