Individual
DR. IAN DANIEL THISTLETHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-5432
Mailing address
3100 MACCORKLE AVE SE STE B-16, CHARLESTON, WV 25304-1223
(304) 388-5848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33206
WV
2084P0800X
Psychiatry Physician
330677
NY
2084P0800X
Psychiatry Physician
33206
WV
2084P0800X
Psychiatry Physician
A198420
CA
Other
Enumeration date
04/05/2019
Last updated
12/02/2025
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