Bruce Keith Thordal (NPI# 1417091455, PAC ID# 6406017748) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1417091455 |
| PAC ID by PECOS | 6406017748 |
| Professional Enrollment ID | I20120413000506 |
| Full Name | Bruce Keith Thordal |
| Address |
501 Dale St N Suite 213 Saint Paul MN 55103-1914 |
| Gender | M |
| Graduation Year | 1975 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 501 Dale St N, Suite 213, Saint Paul, MN 55103-1914 |
| Street Address |
501 DALE ST N SUITE 213 |
| City | SAINT PAUL |
| State | MN |
| Zip | 55103-1914 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter T Yang | Family Medicine | 491 University Ave W, Suite B, Saint Paul, MN 55103-1936 | |
| Gregory J Hynan | Chiropractic | Hynan Chiropractic Clinic | 475 University Ave W, Saint Paul, MN 55103-1959 |
| John J Hynan | Chiropractic | Hynan Chiropractic Clinic | 475 University Ave W, Saint Paul, MN 55103-1959 |
| Pafoua J Yang | Obstetrics/gynecology | 301 University W Ave, Saint Paul, MN 55103-2048 | |
| Viorel Gheorghe | Internal Medicine | Healtheast Medical Research Institute | 559 Capitol Blvd, Saint Paul, MN 55103-2101 |
| Binod K C | Internal Medicine | Healtheast Medical Research Institute | 559 Capitol Blvd, Saint Paul, MN 55103-2101 |
| Nishant Sahni | Internal Medicine | Healtheast Medical Research Institute | 559 Capitol Blvd, Saint Paul, MN 55103-2101 |
| Joseph J Greenberg | General Practice | Healtheast Medical Research Institute | 559 Capitol Blvd, Saint Paul, MN 55103-2101 |
| Alanna M Valadez | Nurse Practitioner | Healtheast Medical Research Institute | 559 Capitol Blvd, Saint Paul, MN 55103-2101 |
| Gary R Kravitz | Infectious Disease | Healtheast Medical Research Institute | 559 Capitol Blvd, Saint Paul, MN 55103-2101 |
| Find all physicians in zip 55103 | |||
| City | SAINT PAUL |
| Zip Code | 55103 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | SAINT PAUL + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Bruce Keith Thordal.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.