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Individual

ADAM EUGENE THIESSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7400
(414) 805-7388
Mailing address
9200 W WISCONSIN AVE, PO BOX 26099, MILWAUKEE, WI 53226-3522

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
63390
WI
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
63390
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477896132
WI
Enumeration date
04/01/2013
Last updated
03/13/2024
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