IndividualActive
Carl Thornfeldt, MD
NPI 1083653489 · Dermatology Physician · Fruitland, ID
Provider details
- NPI number
- 1083653489
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- M7442 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
811 Nw 12th St
Fruitland, ID 83619-2268
Phone: (208) 452-7450
Fax: (208) 452-7550
Approximate (ZIP-level) locationGet directions
Mailing address
811 Nw 12th St
Fruitland, ID 83619-2268
Registry dates
- Enumerated
- 2006-06-04
- Last updated
- 2015-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.