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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. You can also correspond with Thomas J Diem through the mailing address at 12010 53RD AVE N, PLYMOUTH, MN - 55442-1834 (mailing address contact number: 763-557-1353).

Location: 500 Osborne Rd Ne, Fridley, MN, 55442-1834
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
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
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1305105 01 MN MEDICA ID
03507AE 01 MN BCBS ID
institution
Provider Business Practice Location Address Details
Address
500 Osborne Rd Ne
City
Fridley
State
Minnesota
Zip
55432-2765
Phone Number
763-780-8927
Fax Number
763-780-1286
person
Provider Business Mailing Address Details
Address
500 Osborne Rd Ne
City
Fridley
State
Minnesota
Zip
55432-2765
Phone Number
763-780-8927
Fax Number
763-780-1286
person
Provider's Taxonomy Details 1
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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