Provider Demographics
NPI:1669687323
Name:DUNKEL, THOMAS BEATTY (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:BEATTY
Last Name:DUNKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:17 EXCHANGE ST W
Mailing Address - Street 2:SUITE 602
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-1045
Mailing Address - Country:US
Mailing Address - Phone:651-232-4300
Mailing Address - Fax:651-232-4325
Practice Address - Street 1:17 EXCHANGE ST W
Practice Address - Street 2:SUITE 602
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-1045
Practice Address - Country:US
Practice Address - Phone:651-232-4300
Practice Address - Fax:651-232-4325
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN19289207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA93907Medicare UPIN
2900001401347Medicare ID - Type Unspecified