Individual
DR. LOUISE A THIELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1475 PINE GROVE RD, SUITE 102, STEAMBOAT SPRINGS, CO 80487-8803
(970) 879-0203
(970) 879-1389
Mailing address
1475 PINE GROVE RD, SUITE 102, STEAMBOAT SPRINGS, CO 80487-8803
(970) 879-0203
(970) 879-1389
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31052
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01310523
—
CO
01
—
370006298
RAILROAD MEDICARE
CO
Enumeration date
09/06/2006
Last updated
03/01/2016
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