Individual
MR. RICHARD FRANCIS THELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Mailing address
66 TWIN OAKS TER, SOUTH BURLINGTON, VT 05403-7168
(843) 830-6882
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
003180-1
NY
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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