Individual
MRS. MARIA A THELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
1005 S US HIGHWAY 27, SUITE 100, SAINT JOHNS, MI 48879-2423
(989) 224-3000
(989) 224-1424
Mailing address
1005 S US HIGHWAY 27, SUITE 100, SAINT JOHNS, MI 48879-2423
(989) 224-3000
(989) 224-1424
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004441
MI
Other
Enumeration date
06/22/2006
Last updated
05/17/2016
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