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DR. SAMUEL RAYMOND THEIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-1770
Mailing address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-1770

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.014690
OH
207RC0000X
Cardiovascular Disease Physician
Primary
34.014690
OH

Other

Enumeration date
02/07/2018
Last updated
09/02/2025
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