Individual provider · Type 1 NPI

Todd Michael Thieman

Driver · Wyoming, MN

NPI number 1013359579 Active

Practice location

204 Hawthorne Rd
Wyoming, MN 55092-9717

Fax (651) 464-7444

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X377643 (MN)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

About NPI 1013359579

Todd Michael Thieman's National Provider Identifier is 1013359579, issued on Jul 25, 2013. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Wyoming, MN. The record was last updated on Jul 25, 2013.