Individual
BRANDON THIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(612) 672-6300
Mailing address
10405 45TH AVE N APT 126, PLYMOUTH, MN 55442-3404
(612) 718-1074
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R179024-1
MN
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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