Individual
GRADY EARL THIEMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9100 W 74TH ST, MERRIAM, KS 66204
(913) 676-2214
Mailing address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2214
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-37894
KS
207P00000X
Emergency Medicine Physician
2014004835
MO
Other
Enumeration date
03/23/2012
Last updated
05/16/2018
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