Mr. Thomas J Diem, DDS, MD - Fridley, MN

Mr. Thomas J Diem, DDS,MD

Specialist in Fridley, Minnesota

NPI 1023107224

Thomas J Diem is a Specialist based in Plymouth, MN. Thomas J Diem practices in Fridley, MN and has the professional credentials of DDS,MD. The NPI Number for Thomas J Diem is 1023107224 and holds a License No. 24664 (Minnesota).

The current practice location address for Thomas J Diem is 500 Osborne Rd Ne, Fridley, MN and can be reached out via phone at 763-780-8927 and via fax at 763-780-1286.

Location: 500 Osborne Rd Ne, Fridley, MN, 55442-1834

NPI Number

1023107224

Provider Name

Thomas J Diem

Credential

DDS,MD

Provider Entity Type

Individual

Gender

Male

Address

500 Osborne Rd Ne, Fridley, MN, 55442-1834

Phone Number

763-780-8927

Fax Number

763-780-1286

Provider Enumeration Date

10/12/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
1305105	01	MN	MEDICA ID
03507AE	01	MN	BCBS ID

Address

500 Osborne Rd Ne

City

Fridley

State

Minnesota

Zip

55432-2765

Phone Number

763-780-8927

Fax Number

763-780-1286

Address

500 Osborne Rd Ne

City

Fridley

State

Minnesota

Zip

55432-2765

Phone Number

763-780-8927

Fax Number

763-780-1286

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

24664 (Minnesota)

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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