Individual
DR. GREGORY LLOYD THELEN THELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18837 IROQUOIS WAY, LAKEVILLE, MN 55044-4455
(612) 467-1921
Mailing address
18837 IROQUOIS WAY, LAKEVILLE, MN 55044-4455
(612) 467-1921
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
44617
MN
Other
Enumeration date
10/10/2006
Last updated
03/11/2021
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