Individual
ELISE DAWN THREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
23.006282
CT
363AS0400X
Surgical Physician Assistant
23.006282
CT
Other
Enumeration date
09/04/2023
Last updated
09/29/2023
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