Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125065759 | IL |
N | 111NI0900X | Internist | 125065759 | IL |
Y | 207RG0100X | Gastroenterologist | 68994 | MN |
NPI | 1033524608 |
---|---|
Provider Name | Dr. Thomas John Kaminsky |
First Address | Minneapolis, MN 55414-0909 |
Second Address | Plymouth, MN 55446-3661 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2014 |
Last Update Date | 09/08/2021 |