Search › Minnesota › 103TB0200X
Bruce Thordal, PHD
NPI 1417091455 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2870 Highview Ter
Eagan, MN 55121 - Phone
- (612) 860-1238
- Fax
- (952) 948-1277
Registry record
- Primary taxonomy
- 103TB0200X
103TB0200X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota