Individual
DR. MICHAEL ROBERT THEERMAN
Active
Individual
DR. MICHAEL ROBERT THEERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38111
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180629
—
MA
01
—
23518
CIGNA
MA
01
—
4977
FALLON HEALTH PLAN
MA
01
—
64765
HARVARD-PILGRIM HEALTHCAR
MA
01
—
712458
TUFTS
MA
01
—
E21017
BLUE CROSS
MA
Enumeration date
02/13/2006
Last updated
07/05/2012
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