Individual
MRS. EMILY L THIEME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002748A
IN
363AS0400X
Surgical Physician Assistant
10002748A
IN
Other
Enumeration date
07/25/2019
Last updated
05/08/2024
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