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Individual
DR. MICHAEL RICHARD THOLEN
Active
Individual
DR. MICHAEL RICHARD THOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D0081849
MD
207Q00000X
Family Medicine Physician
D0081849
MD
208600000X
Surgery Physician
D0081849
MD
208D00000X
General Practice Physician
Primary
D0081849
MD
Other
Enumeration date
04/12/2012
Last updated
03/30/2026
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