Individual
JULIE ANN THELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-3840
Mailing address
9068 WILDWOOD LAKE DR, WHITMORE LAKE, MI 48189-9427
(734) 449-9677
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704219605
MI
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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