Individual
JEREMY THEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2006 HOGBACK RD, SUITE 5, ANN ARBOR, MI 48105-9750
(734) 786-8086
Mailing address
3245 PARKRIDGE DR, ANN ARBOR, MI 48103-1742
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.136932
OH
207L00000X
Anesthesiology Physician
Primary
4301079559
MI
Other
Enumeration date
07/29/2006
Last updated
06/21/2019
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