| Doctor Name: | MR. THOMAS ERIC PAHL |
| NPI Number: | 1487607172 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 9574 |
| Business Practice Address: | 200 Elm St N Onamia, MN - 563597901 |
| Business Phone Number: | 3205323154 |
| Business Fax Number: | 3205323111 |
| Mailing Address: | 10 Fourth Ave Se, GLENWOOD |
| State: | MN |
| Postal Code: | 563341820 |
| Phone Number: | 3206344521 |
| Fax Number: | 3206342244 |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 12/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 9574 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |