Individual
DR. ALISON JEAN THRESHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
950 S MAIN ST, SUITE #7, CELINA, OH 45822-2479
(419) 586-5170
(419) 586-5177
Mailing address
1485 CORONA LN, VERO BEACH, FL 32963-2508
(419) 586-5170
(419) 586-5177
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
3579289
OH
207V00000X
Obstetrics & Gynecology Physician
MD61478175
WA
207VG0400X
Gynecology Physician
Primary
35079289
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000213061
BLUE CROSS BLUE SHIELD
OH
05
—
2246028
—
OH
01
—
P00272253
RAILROAD MEDICARE
OH
Enumeration date
09/02/2006
Last updated
08/28/2023
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