Provider Demographics
NPI:1447945068
Name:TOM STECKER, PLLC
Entity type:Organization
Organization Name:TOM STECKER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:STECKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:877-442-4476
Mailing Address - Street 1:100 S 5TH ST STE 205
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-1208
Mailing Address - Country:US
Mailing Address - Phone:877-442-4476
Mailing Address - Fax:
Practice Address - Street 1:100 S 5TH ST STE 205
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-1208
Practice Address - Country:US
Practice Address - Phone:877-442-4476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center