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Individual

WILLIAM THIEMKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
NAPLES RD, FLETCHER, NC 28732
(828) 681-2141
Mailing address
44 HUNTING LODGE DR, BLACK MOUNTAIN, NC 28711-9799
(828) 669-4485

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2005-01802
NC
208D00000X
General Practice Physician
WT007666
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1373910
MI
05
5903338
NC
01
P00418628
RAILROAD MEDICARE
Enumeration date
06/14/2005
Last updated
05/20/2008
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