Individual
DR. BRETT ERIC THEUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62702-3757
(217) 545-0182
(217) 545-4735
Mailing address
PO BOX 19636, SPRINGFIELD, IL 62794-9636
(217) 545-0182
(217) 545-4735
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
28994
NE
207L00000X
Anesthesiology Physician
4301108958
MI
207L00000X
Anesthesiology Physician
Primary
74605
GA
207R00000X
Internal Medicine Physician
125.060179
IL
Other
Enumeration date
08/07/2011
Last updated
05/12/2016
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