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NPI Code Detail

MEDICARE: WILLIAM THIEMKEY D.O.

MEDICARE:   WILLIAM  THIEMKEY  D.O.
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
1207P00000XEmergency Medicine Physician2005-01802NC
2208D00000XGeneral Practice PhysicianWT007666MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00418628OTHERRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1962407288
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM THIEMKEY D.O.
Provider Business Mailing Address
First Line : 44 HUNTING LODGE DR
Second Line :
City : BLACK MOUNTAIN
State : NC
Zip : 28711-9799
Country : US
Telephone Number : 828-669-4485
Fax Number :
Provider Business Practice Location Address
First Line : NAPLES RD
Second Line :
City : FLETCHER
State : NC
Zip : 28732
Country : US
Telephone Number : 828-681-2141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 05/20/2008

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