| William J Thieman MD PC | |
|
1217 East Elizabeth Suite 1 Fort Collins CO 80524-4040 | |
| (970) 484-7245 | |
| (970) 484-1398 |
| Full Name | William J Thieman MD PC |
|---|---|
| Speciality | Family Medicine |
| Location | 1217 East Elizabeth, Fort Collins, Colorado |
| Authorized Official Name and Position | Eileen Morgan Thieman (OFFICE MANAGER CORPORATE SECRETARY) |
| Authorized Official Contact | 9704847245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William J Thieman MD PC 1217 East Elizabeth Suite 1 Fort Collins CO 80524-4040 Ph: (970) 484-7245 | William J Thieman MD PC 1217 East Elizabeth Suite 1 Fort Collins CO 80524-4040 Ph: (970) 484-7245 |
| NPI Number | 1457536187 |
|---|---|
| Provider Enumeration Date | 12/31/2007 |
| Last Update Date | 12/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457536187 | NPI | - | NPPES |
| 01191907 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 19190 (Colorado) | Primary |
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