Individual provider · Type 1 NPI
David Immanuel Thickman, MD
Diagnostic Radiology Physician · Carbondale, CO
NPI number
1689650939
Active
Practice location
109 Sopris Mesa Dr
Carbondale, CO 81623-3150
Fax (612) 294-4903
Mailing address
11995 Singletree Lane, Ste 500
Eden Prairie, MN 55344-5349
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | DR28103 (CO) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
About NPI 1689650939
David Immanuel Thickman, MD's National Provider Identifier is 1689650939, issued on Dec 19, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Carbondale, CO. The record was last updated on May 30, 2017.