Individual
DR. NILS HAKAN THYRESSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
014210
ME
207N00000X
Dermatology Physician
Primary
45989
MA
207N00000X
Dermatology Physician
6318
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105724Y0NH01
ANTHEM NEW HAMPSHIRE
NH
01
—
045989
TUFTS
MA
01
—
047259
ANTHEM MAINE
ME
01
—
070007723
MEDICARE RAILROAD
MA
01
—
4306
HARVARD
MA
01
—
93608
AETNA
MA
01
—
D11119
BCBS MASSACHUSETTS
MA
Enumeration date
09/15/2006
Last updated
05/16/2013
Update your record
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