Individual
DR. JOHN THIESZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3528 GABEL RD, BILLINGS, MT 59102-7307
(970) 391-0572
(815) 377-2580
Mailing address
1281 E MAGNOLIA ST, SUITE D199, FORT COLLINS, CO 80524-4796
(970) 391-0572
(815) 377-2580
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47210
CO
207R00000X
Internal Medicine Physician
47877-020
WI
208M00000X
Hospitalist Physician
Primary
47210
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12435
MT LIC
MT
01
—
47210
CO LIC
CO
05
—
60427876
—
CO
Enumeration date
07/08/2006
Last updated
12/06/2010
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