Search › Minnesota › 111N00000X
Connie Theisen
NPI 1063599892 · on the registry since 2006
Practice
- Address
- 9479 Garland Ave
Maple Grove, MN 55311 - Phone
- (763) 494-8787
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-09-03
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