Provider Demographics
NPI:1699125369
Name:THOJ, DUAG TOOJ TOM (DC)
Entity type:Individual
Prefix:DR
First Name:DUAG TOOJ
Middle Name:TOM
Last Name:THOJ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 GERANIUM AVE W
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-4810
Mailing Address - Country:US
Mailing Address - Phone:651-808-7969
Mailing Address - Fax:
Practice Address - Street 1:1350 ENERGY LN STE 110A
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55108-5254
Practice Address - Country:US
Practice Address - Phone:651-808-7969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6158111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor