Individual
MRS. CASANDRA SHERMAN THIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
45 S STANFIELD RD, TROY, OH 45373-2366
(937) 339-8380
(937) 335-4096
Mailing address
5300 FAR HILLS AVENUE, DAYTON, OH 45429-2347
(937) 433-7536
(937) 433-9612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003798
OH
Other
Enumeration date
06/13/2014
Last updated
08/03/2016
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