Individual
DR. ANTHONY M THIJSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2510 AIRPARK DRIVE, SUITE 103, REDDING, CA 96001
(530) 229-7503
(530) 229-7542
Mailing address
2510 AIRPARK DRIVE, SUITE 103, REDDING, CA 96001
(530) 229-7503
(530) 229-7542
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00G871910
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G871910
—
CA
01
—
P00810708
MEDICARE RAILROAD
CA
Enumeration date
10/28/2005
Last updated
09/10/2013
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