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
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 377643 (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.