Provider Demographics
NPI:1205020757
Name:KUZMA, THOMAS DUGAN (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:DUGAN
Last Name:KUZMA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 HIGHWAY 55 E
Mailing Address - Street 2:SUITE NUMBER 201
Mailing Address - City:BUFFALO
Mailing Address - State:MN
Mailing Address - Zip Code:55313-8905
Mailing Address - Country:US
Mailing Address - Phone:763-684-1111
Mailing Address - Fax:
Practice Address - Street 1:911 13TH ST NW
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:MN
Practice Address - Zip Code:55313-4445
Practice Address - Country:US
Practice Address - Phone:952-484-0379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4954111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor