Individual
DR. ERIC J THIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2070 EAGLE CREEK LN STE 200, WOODBURY, MN 55129-3217
(651) 436-3356
(651) 436-3394
Mailing address
W13252 SCANDI ST, RIPON, WI 54971-9548
(920) 229-3564
(920) 734-1642
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2932
MN
152W00000X
Optometrist
2938-035
WI
152W00000X
Optometrist
OEG001283
PA
Other
Enumeration date
06/12/2006
Last updated
03/07/2023
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