NPI 1255498556
Thomas Allen Converse, MD
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
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.