Individual
CARRIE THIESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-1384
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
75680
WI
208600000X
Surgery Physician
75680
WI
208600000X
Surgery Physician
A161353
CA
Other
Enumeration date
05/22/2010
Last updated
02/21/2022
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