Provider Demographics
NPI:1942323522
Name:THOMAS, SEAN R (PA-C)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:R
Last Name:THOMAS
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:913 E 26TH ST
Mailing Address - Street 2:PIPER BUILDING SUITE 600
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-4515
Mailing Address - Country:US
Mailing Address - Phone:612-775-6108
Mailing Address - Fax:612-775-6222
Practice Address - Street 1:913 E 26TH ST
Practice Address - Street 2:PIPER BUILDING SUITE 600
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-4515
Practice Address - Country:US
Practice Address - Phone:612-775-6200
Practice Address - Fax:612-775-6222
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2020-11-10
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant