Individual
ADAM THIEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
252 CREST DR, FAIRBANKS, AK 99712-1632
(501) 628-1324
Mailing address
252 CREST DR, FAIRBANKS, AK 99712-1632
(501) 628-1324
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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