Individual
DR. PAULA J. THIELEN-KOCHAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16120 W DODGE RD, OMAHA, NE 68118-2049
(023) 540-6104
(402) 354-0649
Mailing address
825 S 169TH ST, OMAHA, NE 68118-9300
(402) 354-5677
(402) 354-5454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28117
NE
207Q00000X
Family Medicine Physician
Primary
6935
NE
Other
Enumeration date
05/28/2013
Last updated
01/08/2024
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