Individual
MARCUS CHARLES THIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2500 S WOODWORTH LOOP, PALMER, AK 99645-8984
(907) 861-6700
(907) 861-6742
Mailing address
2500 S WOODWORTH LOOP, PALMER, AK 99645-8984
(907) 861-6700
(907) 861-6742
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
176399
AK
207R00000X
Internal Medicine Physician
2018018693
MO
Other
Enumeration date
06/24/2018
Last updated
10/03/2023
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