Individual
ERIC JOSEPH THEISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1526 NORTHWAY DR, SAINT CLOUD, MN 56303-1224
(800) 349-7272
Mailing address
1526 NORTHWAY DR, SAINT CLOUD, MN 56303-1224
(800) 349-7272
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2920
MN
Other
Enumeration date
12/06/2023
Last updated
12/04/2025
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