Thieman, Michele
Thieman, Michele is an individual health care provider with primary practice located at 705 Pleasant Ave S , Park Rapids MN 56470-1440. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Thieman, Michele can be contacted via phone (218) 732-2800.Contact Information
Primary practice address
705 Pleasant Ave S
Park Rapids MN 56470-1440
Phone: (218) 732-2800
Fax: (218) 732-2874
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 45713 | Colorado |
Profile Details
| NPI number | 1043309065 |
|---|---|
| LBN Legal business name | Thieman, Michele |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Feb 11th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043309065 | NPPES |
| Minnesota | MEDICAID | 040974000 |
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