Provider Demographics
NPI:1053441055
Name:AASHEIM, TOR CHRISTIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:TOR
Middle Name:CHRISTIAN
Last Name:AASHEIM
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:2545 CHICAGO AVE
Mailing Address - Street 2:SUITE 601
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-4522
Mailing Address - Country:US
Mailing Address - Phone:612-863-7770
Mailing Address - Fax:612-863-7772
Practice Address - Street 1:2545 CHICAGO AVE
Practice Address - Street 2:SUITE 601
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-4522
Practice Address - Country:US
Practice Address - Phone:612-863-7770
Practice Address - Fax:612-863-7772
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN45502208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery