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NPI Code Detail

MEDICARE: THOMAS P FLYNN M.D.

MEDICARE:   THOMAS P FLYNN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician23520MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10104003OTHERMNPREFERREDONE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
38T403FLOTHERMNBLUE CROSS BLUE SHIELD
4106111OTHERMNUCARE MN
53600776OTHERMNMEDICA
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7HP13299OTHERMNHEALTHPARTNERS
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
923324OTHERMNAMERICA'S PPO

General Provider Information

NPI Number : 1720057870
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS P FLYNN M.D.
Provider Business Mailing Address
First Line : 2550 UNIVERSITY AVE W STE 110N
Second Line :
City : SAINT PAUL
State : MN
Zip : 55114-2001
Country : US
Telephone Number : 651-602-5309
Fax Number : 651-222-6786
Provider Business Practice Location Address
First Line : 910 E 26TH ST
Second Line : SUITE 100-200
City : MINNEAPOLIS
State : MN
Zip : 55404-4526
Country : US
Telephone Number : 612-884-6300
Fax Number : 612-884-6363
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 11/29/2017

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Directions to “ THOMAS P FLYNN M.D.” Practice Location

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