Individual
JOSLIN DAWN THIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A., NSPMC
Contact information
Practice address
1805 HENNEPIN AVE N, GLENCOE, MN 55336-1416
(320) 864-3121
Mailing address
1621 MANCHESTER PL, WACONIA, MN 55387-4547
(651) 353-3668
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
76739
MN
367500000X
Certified Registered Nurse Anesthetist
076739
MN
Other
Enumeration date
03/01/2007
Last updated
05/02/2022
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