Healthcare Provider Details

I. General information

NPI: 1982658134
Provider Name (Legal Business Name): THOMAS P HUTCHENS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 06/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 E ROSSER AVE
BISMARCK ND
58501-4414
US

IV. Provider business mailing address

401 N 9TH ST
BISMARCK ND
58501-4507
US

V. Phone/Fax

Practice location:
  • Phone: 701-530-6000
  • Fax: 701-530-6430
Mailing address:
  • Phone: 701-530-6000
  • Fax: 701-530-6430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number5434
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: