MR. Thomas J Diem, D.D.S., M.D.

NPI #1023107224 in Fridley, Minnesota

Provider Information

NPI Number: 1023107224
Entity Type: Individual
Name: MR. Thomas J Diem, D.D.S., M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: D.D.S., M.D.
Enumeration Date: Oct 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 500 OSBORNE RD NE
Address 2: UNITY PROFESSIONAL BLDG SUITE 350
City: Fridley
State: Minnesota
ZIP Code: 55432-2765
Phone: (763) 780-8927

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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