Organization
WILLIAM J THIEMAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EILEEN MORGAN THIEMAN (OFFICE MANAGER CORPORATE SECRETARY)
(970) 484-7245
Entity
Organization
Contact information
Practice address
1217 EAST ELIZABETH, SUITE 1, FORT COLLINS, CO 80524-4040
(970) 484-7245
(970) 484-1398
Mailing address
1217 EAST ELIZABETH, SUITE 1, FORT COLLINS, CO 80524-4040
(970) 484-7245
(970) 484-1398
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19190
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01191907
—
CO
Enumeration date
12/31/2007
Last updated
12/31/2007
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