Provider Demographics
NPI:1225248081
Name:THOMAS, KARIN HELENA (MD)
Entity Type:Individual
Prefix:DR
First Name:KARIN
Middle Name:HELENA
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3004 MADISON AVE SW
Mailing Address - Street 2:
Mailing Address - City:BEMIDJI
Mailing Address - State:MN
Mailing Address - Zip Code:56601-8871
Mailing Address - Country:US
Mailing Address - Phone:218-759-9026
Mailing Address - Fax:
Practice Address - Street 1:3004 MADISON AVE SW
Practice Address - Street 2:
Practice Address - City:BEMIDJI
Practice Address - State:MN
Practice Address - Zip Code:56601-8871
Practice Address - Country:US
Practice Address - Phone:218-759-9026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA50545208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN461553Medicare UPIN
MN8H2D49Medicare ID - Type Unspecified