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Individual

ANDREW CHRISTIAN THIENEMAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-6638
(812) 450-8109
Mailing address
PO BOX 3868, EVANSVILLE, IN 47737-3868
(812) 426-6638
(812) 450-8109

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01027883A
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
01027883A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100086800
IN
01
64758162
KY MEDICAID
KY
Enumeration date
12/04/2006
Last updated
01/09/2013
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