Mr David Anton Thoreson, PT | |
1870 Alta Vista Dr, Roseville, MN 55113-6560 | |
(651) 488-0813 | |
(651) 488-0813 |
Full Name | Mr David Anton Thoreson |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1870 Alta Vista Dr, Roseville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720387020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1377 (Minnesota) | Primary |
Provider Name | Fairmont Orthopedics & Sports Medicine Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134173644 PECOS PAC ID: 3173436854 Enrollment ID: O20031110000058 |
Mailing Address | Practice Location Address |
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Mr David Anton Thoreson, PT 1870 Alta Vista Dr, Roseville, MN 55113-6560 Ph: (651) 488-0813 | Mr David Anton Thoreson, PT 1870 Alta Vista Dr, Roseville, MN 55113-6560 Ph: (651) 488-0813 |
Mr. Peter Gering Skupeko, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1325 Eldridge Ave W, Roseville, MN 55113 Phone: 651-639-1615 Fax: 651-639-1615 | |
David Anderson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1955 County Road B2 W, Roseville, MN 55113 Phone: 651-697-1313 | |
Amy Sue Andersen, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1970 Oakcrest Ave, Suite 107, Roseville, MN 55113 Phone: 651-636-6330 | |
Rebecca Mae Gilbertson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2945 Lincoln Dr, Roseville, MN 55113 Phone: 651-628-3000 | |
Mr. Frederick Carl Hjelm, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1835 County Road C W, Roseville, MN 55113 Phone: 651-638-0080 Fax: 651-638-0082 | |
Grady Glynn, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3050 Centre Pointe Dr, Suite Number 200, Roseville, MN 55113 Phone: 651-631-4242 | |
Nicholas Daniel Biondich, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1769 Lexington Ave N, 286, Roseville, MN 55113 Phone: 952-835-4512 |