Individual provider · Type 1 NPI

Rebecca Lauren Theisen, MD

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1417444597 Active

Practice location

50 E Canfield St
Detroit, MI 48201-1804

Call (313) 745-4525 Map

Mailing address

5044 Commonwealth St
Detroit, MI 48208-2040

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417444597

Rebecca Lauren Theisen, MD's National Provider Identifier is 1417444597, issued on Apr 15, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Apr 15, 2018.