Provider Demographics
NPI:1952315509
Name:HELM, THOMAS J (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:J
Last Name:HELM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:12000 ELM CREEK BLVD, SUITE 360
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-7076
Mailing Address - Country:US
Mailing Address - Phone:763-420-1010
Mailing Address - Fax:763-420-3710
Practice Address - Street 1:12000 ELM CREEK BLVD, SUITE 360
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-7076
Practice Address - Country:US
Practice Address - Phone:763-420-1010
Practice Address - Fax:763-420-3710
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN32872207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNP00058279OtherRAILROAD MEDICARE
MN0200089OtherMEDICA
MN105259F031OtherUCARE
MN927846OtherAMERICAS PPO
MNHP10588OtherHEALTHPARTNERS
MN065397100Medicaid
MN43F41HEOtherBLUE CROSS AND BLUE SHIEL
MN677940908016OtherPREFERREDONE
MN065397100Medicaid
MN0200089OtherMEDICA
MN677940908016OtherPREFERREDONE