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Individual
CARRIE THIESSEN
Active
Individual
CARRIE THIESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
75680
WI
208600000X
Surgery Physician
75680
WI
208600000X
Surgery Physician
A161353
CA
Other
Enumeration date
05/22/2010
Last updated
02/21/2022
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