Individual
DR. JENNIFER THIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6413 THORNBERRY CT, MASON, OH 45040-7821
(513) 770-0787
Mailing address
6413 THORNBERRY CT, MASON, OH 45040-7821
(513) 770-0787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
124175
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036117331
MEDICAL LICENSE
IL
Enumeration date
05/23/2007
Last updated
02/25/2021
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