Marilee Thoresen in Madison - Physician Assistant

Marilee Thoresen - NPI 1073533097

Marilee Thoresen is a Physician Assistant in Madison, Wisconsin. Marilee Thoresen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Marilee Thoresen is 1073533097. The last update date is 2013-07-30.

Marilee Thoresen's current location address is 1265 John Q Hammons Dr, Madison, Wisconsin. You can contact this provider via phone number 6082514156 and fax number 6082573842. The mailing address for Marilee Thoresen is 1265 John Q Hammons Dr, Madison, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Marilee Thoresen
Address 1265 John Q Hammons Dr, Madison, Wisconsin
Phone Number 6082514156
Fax Number 6082573842
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1073533097
Provider Enumeration Date 2006-07-20
Last Updated Date 2013-07-30

Provider Mailing Address Detail

Address 1265 John Q Hammons Dr
City Madison
State Wisconsin (WI)
Post Code 537171941
Phone Number 6082514156
Fax Number 6082573842

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 316
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
42908200 WI --

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FAQs about Marilee Thoresen

What is the unique provider identifier assigned to Marilee Thoresen?

The Marilee Thoresen has been issued the NPI (National Provider Identifier) 1073533097 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Marilee Thoresen's physical address?

The Marilee Thoresen is physically located at 1265 John Q Hammons Dr, in the city of Madison, WI, with the postal code 537171941.

What is the area of specialization for Marilee Thoresen, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Marilee Thoresen is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Marilee Thoresen receive its 1073533097 assignment from the Centers for Medicare & Medicaid Services?

The Marilee Thoresen was assigned its 1073533097 by the Centers for Medicare & Medicaid Services on 2006-07-20.

When was the information regarding Marilee Thoresen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Marilee Thoresen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-07-30.

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