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NPI Code Detail

MEDICARE: DR. CHRISTOPHER MICHAEL THIEMAN PHARM D

MEDICARE: DR. CHRISTOPHER MICHAEL THIEMAN PHARM D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist21033IA
2183500000XPharmacist13184NE

General Provider Information

NPI Number : 1619105855
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER MICHAEL THIEMAN PHARM D
Provider Business Mailing Address
First Line : 3301 GORDON DR
Second Line :
City : SIOUX CITY
State : IA
Zip : 51105-3708
Country : US
Telephone Number : 712-234-1949
Fax Number : 712-255-8087
Provider Business Practice Location Address
First Line : 3301 GORDON DR
Second Line :
City : SIOUX CITY
State : IA
Zip : 51105-3708
Country : US
Telephone Number : 712-234-1949
Fax Number : 712-255-8087
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2009
Last Update Date : 06/25/2009

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Directions to “ DR. CHRISTOPHER MICHAEL THIEMAN PHARM D” Practice Location

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