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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THOMAS MICHAEL MISUKANIS SR., PH.D.

Active

DR. THOMAS MICHAEL MISUKANIS SR., PH.D. is a Clinical Neuropsychologist healthcare provider located in BLOOMINGTON, Minnesota. NPI 1922168244 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · BLOOMINGTON, MN

Registration Details

NPI Number
1922168244
Provider Type
Individual
Gender
Male
NPI Issued
Dec 8, 2006 (19.496372687482 yrs)
Last Updated
Dec 30, 2020
Licenses
1929 (CO)
LP3921 (MN)
1929 (CO)
LP3921 (MN)

Practice Information

Address
7800 METRO PKWY
SUITE 300
BLOOMINGTON, MN, 554251514
Browse MN providers · Browse ZIP 55425
Phone
9528760727
Fax
9528519618
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Psychologist
Additional Specialty
Clinical Psychologist
Additional Specialty
Clinical Neuropsychologist

Other Clinical Neuropsychologist Providers in BLOOMINGTON, MN

Name Credential NPI
MAIDA G GUNTHER PH.D. 1780660951
DR. SUSANNE WICKIE COHEN PH.D. 1548303316
AIMEE CUSTER PSYD 1659744043
DR. MELISSA PAGE FISCHER PSY.D. 1699128074
DR. NICHOLAS JOHN SPANGLER LP 1629548136
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.