Provider Demographics
NPI:1386642767
Name:DRESSEL, THOMAS D (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:D
Last Name:DRESSEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7801 E BUSH LAKE RD
Mailing Address - Street 2:STE 320
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55439
Mailing Address - Country:US
Mailing Address - Phone:952-831-5773
Mailing Address - Fax:952-931-7224
Practice Address - Street 1:6545 FRANCE AVE S
Practice Address - Street 2:STE 301
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2114
Practice Address - Country:US
Practice Address - Phone:952-929-1812
Practice Address - Fax:952-929-1943
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN221432086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
C36278Medicare UPIN