Individual
DR. DONALD E THIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1916 NE 335TH AVE, WASHOUGAL, WA 98671-9296
(360) 835-7374
Mailing address
1916 NE 335TH AVE, WASHOUGAL, WA 98671-9296
(360) 835-7374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20304
WA
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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