Wiberg, Thomas Andrew

Wiberg, Thomas Andrew is an individual health care provider with primary practice located at 225 Smith Ave N Suite 500, Saint Paul MN 55102-2534. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wiberg, Thomas Andrew can be contacted via phone (651) 292-0616.

Contact Information

Primary practice address
225 Smith Ave N Suite 500 Saint Paul MN 55102-2534
Phone: (651) 292-0616
Fax: (651) 726-7256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 26678 Minnesota

Profile Details

NPI number 1154380830
LBN Legal business name Wiberg, Thomas Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 9th, 2007 - about 18 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 1154380830 NPPES
Wisconsin MEDICAID 30427800

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