person
Mr. Mark Walter Thiemann, PAC
Surgical Physician Assistant in Cincinnati, Ohio
NPI 1386634046

Mark Walter Thiemann is a Surgical Physician Assistant based in Cincinnati, OH and is specialized in Surgical. Mark Walter Thiemann practices in Cincinnati, OH and has the professional credentials of PAC. The NPI Number for Mark Walter Thiemann is 1386634046 and holds a License No. 50-00-0882 (Ohio).

The current practice location address for Mark Walter Thiemann is 2454 Kipling Avenue, Cincinnati, OH and can be reached out via phone at 513-981-6784 and via fax at 513-853-4095. You can also correspond with Mark Walter Thiemann through the mailing address at 2454 KIPLING AVENUE, CINCINNATI, OH - 45239-6600 (mailing address contact number: 513-981-6784).

Location: 2454 Kipling Avenue, Cincinnati, OH, 45239-6600
person
Provider Profile Details
NPI Number
1386634046
Provider Name
Mark Walter Thiemann
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
2454 Kipling Avenue, Cincinnati, OH, 45239-6600
Phone Number
513-981-6784
Fax Number
513-853-4095
Provider Enumeration Date
10/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0077577 05 OH
PA-P00919620 01 OH MEDICARE RR
institution
Provider Business Practice Location Address Details
Address
2454 Kipling Avenue
City
State
Zip
45239-6600
Phone Number
513-981-6784
Fax Number
513-853-4095
person
Provider Business Mailing Address Details
Address
2454 Kipling Avenue
City
State
Zip
45239-6600
Phone Number
513-981-6784
Fax Number
513-853-4095
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
50-00-0882 (Ohio)
Definition
Definition to come...
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