IndividualActive
Andrew Thomas, MD
NPI 1790758118 · Pediatric Sports Medicine Physician · Saint Paul, MN
Provider details
- NPI number
- 1790758118
- Entity type
- Individual
- Primary specialty
- Pediatric Sports Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 22266 (MN)
Practice location
435 Phalen Blvd
Mail Stop 51103h
Saint Paul, MN 55130-5302
Phone: (651) 254-8300
Fax: (651) 254-8379
Mailing address
435 Phalen Blvd
Saint Paul, MN 55130-5302
Registry dates
- Enumerated
- 2006-02-08
- Last updated
- 2012-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.