Ann H Thedieck in Green River - Family Medicine

Ann H Thedieck - NPI 1073569745

Ann H Thedieck is a Family Medicine in Green River, . Ann H Thedieck practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ann H Thedieck is 1073569745. The last update date is 2007-07-08.

Ann H Thedieck's current location address is Po Box 219, Green River, . You can contact this provider via phone number 3078724500 and fax number 3078724595. The mailing address for Ann H Thedieck is Po Box 219, Green River, . To know further, please read the information below!

Provider Profile Detail

Provider Name Ann H Thedieck
Address Po Box 219, Green River,
Phone Number 3078724500
Fax Number 3078724595
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1073569745
Provider Enumeration Date 2006-05-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 219
City Green River
State (WY)
Post Code 829350219
Phone Number 3078724500
Fax Number 3078724595

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 6716A
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
313158 WY BLUE CROSS BLUE SHIELD

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FAQs about Ann H Thedieck

What is the unique provider identifier assigned to Ann H Thedieck?

The Ann H Thedieck has been issued the NPI (National Provider Identifier) 1073569745 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Ann H Thedieck is geographically located?

The Ann H Thedieck is physically situated at the following location: Po Box 219, Green River, WY, 829350219.

What is the Ann H Thedieck's specialty and taxonomy code?

The Ann H Thedieck's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

When was the Ann H Thedieck's 1073569745 issued?

The Ann H Thedieck's 1073569745 was issued on 2006-05-25.

When was the information regarding Ann H Thedieck most recently updated?

The details pertaining to the Ann H Thedieck, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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