SearchMinnesota172A00000X

Todd Thieman

NPI 1013359579 · on the registry since 2013

Practice

Address
204 Hawthorne Rd
Wyoming, MN 55092
Phone
(651) 464-7444
Fax
(651) 464-7444

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota