Individual
CHAD MICHAEL THOEMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7365
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(910) 787-3754
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/09/2006
Last updated
09/11/2024
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