Whalio Doctors

NPI 1255498556

Thomas Allen Converse, MD

Practitioner Psychiatry Physician Golden Valley, MN

Practice location

Address
1405 Lilac Dr N STE 150, Golden Valley, MN 55422-4535
Phone
(763) 544-8194
Fax
(763) 544-4413

Registered specialties

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 23239 (MN)

Registry record

NPI
1255498556
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Jan 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.