Individual
DUSTIN THEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1580 CREEKSIDE DR STE 100, FOLSOM, CA 95630-3887
(916) 961-3434
Mailing address
5120 MANZANITA AVE STE 100, CARMICHAEL, CA 95608-0590
(916) 947-6792
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
5979
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5979
CA
Other
Enumeration date
03/26/2020
Last updated
04/17/2025
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