Individual
JAMES R THISTLETHWAITE
Active
Individual
JAMES R THISTLETHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
036069023
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069023
—
IL
Enumeration date
12/22/2006
Last updated
01/02/2013
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