Provider Demographics
NPI:1275500381
Name:EGGER, THOMAS SR (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:EGGER
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:7301 OHMS LANE
Mailing Address - Street 2:STE 650
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439
Mailing Address - Country:US
Mailing Address - Phone:952-835-9880
Mailing Address - Fax:952-857-1554
Practice Address - Street 1:201 E NICOLLET BLVD
Practice Address - Street 2:FAIRVIEW RIDGES HOSPITAL
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337
Practice Address - Country:US
Practice Address - Phone:952-892-2021
Practice Address - Fax:952-892-2670
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN35027207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN35027OtherMN MEDICAL LICENSE
F10363Medicare UPIN