Alexandra S Theisen M.D.

NPI 1124169040 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1124169040
Gender Female
Enumeration Date 02/12/2007
Last Updated 11/20/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
14650 E OLD US 12
SUITE 203
CHELSEA MI, 48118, US
Phone (734) 475-3923
Fax (734) 475-4071
Business Location
14650 E OLD US 12
SUITE 203
CHELSEA MI, 48118, US
Phone (734) 475-3923
Fax (734) 475-4071
Toxanomy
Taxonomy Code 208100000X
License State Michigan
License Number AT67486
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According to our database, Alexandra S Theisen M.D. NPI is 1124169040, taxonomy code is 208100000X and license number is AT67486, license state is located at Michigan. Alexandra S Theisen M.D. physically located at 14650 E Old Us 12, Chelsea MI, 48118. NPI Number Alexandra S Theisen M.D. has the Individual type.

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1124169040 NPI number is provided on an as is basis without warranty of any kind. 1124169040 is maintained by the National Plan & Provider Enumeration System. The contents of Alexandra S Theisen M.D. are for informational purposes only.