Individual
MARIA THIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
41120 WASHINGTON ST STE 201, BERMUDA DUNES, CA 92203-9596
(760) 360-3193
(760) 360-3194
Mailing address
41120 WASHINGTON ST STE 201, BERMUDA DUNES, CA 92203-9596
(760) 360-3193
(760) 360-3194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A17345
CA
207R00000X
Internal Medicine Physician
5701022763
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
5101025109
MI
Other
Enumeration date
06/27/2016
Last updated
06/10/2024
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