Individual
MARGARET ISABEL THIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3301 BROADWAY ST, QUINCY, IL 62301-3713
(217) 277-4090
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036114092
IL
207L00000X
Anesthesiology Physician
ME100633
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME100633
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114103
TRIWEST
FL
01
—
12376
BCBSFL
FL
05
—
2803569 00
—
FL
01
—
4258872
CIGNA
FL
Enumeration date
01/17/2008
Last updated
06/14/2023
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