Individual
ERIK P THYSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MDR3P63
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003012657
MEDICARE LEGACY
MO
01
—
100008440
RAILROAD MEDICARE
—
01
—
1059638
UHC
—
01
—
107244
BLUE CROSS/BLUE SHIELD
—
05
—
203703103
—
MO
01
—
211593
HEALTHLINK
—
01
—
4288200
AETNA
—
01
—
43076
GHP
—
Enumeration date
08/17/2006
Last updated
03/08/2021
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