Organization
ANTHONY M. THIJSSEN, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY M THIJSSEN M.D. (PRESIDENT)
(530) 229-7503
Entity
Organization
Contact information
Practice address
2510 AIRPARK DR, SUITE 103, REDDING, CA 96001-2449
(530) 229-7503
(530) 229-7535
Mailing address
PO BOX 496084, REDDING, CA 96049-6084
(530) 229-7503
(530) 229-7535
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DQ0555
MEDICARE RAILROAD
CA
Enumeration date
10/06/2009
Last updated
11/29/2012
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