Individual
MRS. KATHLEEN M. THIEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RN, FNP-C
Contact information
Practice address
1200 KENWOOD AVE, CSS STUDENT HEALTH SERVICE, DULUTH, MN 55811-4199
(218) 723-6282
(218) 723-5953
Mailing address
1200 KENWOOD AVE, CSS STUDENT HEALTH SERVICE, DULUTH, MN 55811-4199
(218) 723-6282
(218) 723-5953
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R1480412
MN
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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