Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mai Ly Thor

Individual provider Family Medicine Physician · NPI 1902369705

Mai Ly Thor is a Family Practice in Saint Paul, Minnesota. Qualified in 2019, 7 years ago. Practices with Healtheast Medical Research Institute, a 678-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

980 Rice St
Saint Paul, MN 55117-4949
Phone: (651) 326-9020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2901 W Oklahoma Ave, Milwaukee, WI 53215-4329 — (414) 219-7427

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 72351 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902369705
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 9, 2019
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 2022
Mailing address980 Rice St, Saint Paul, MN 55117-4949

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Healtheast Medical Research Institute — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Saint Paul