Individual
DR. TYLER C. THOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 DUFF AVE, AMES, IA 50010-3014
(515) 239-4431
(515) 239-4742
Mailing address
1215 DUFF AVE, AMES, IA 50010-3014
(515) 239-4431
(515) 239-4742
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18452
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0127589
—
IA
Enumeration date
11/11/2005
Last updated
09/07/2012
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