Individual
STEVEN THEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-3627
Mailing address
PO BOX 1397, TOLEDO, OH 43603-1397
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002887
OH
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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