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Contact Information

CHRISTOPHER N THIESSEN, MD
4570 CTY. HWY. 61
MOOSE LAKE, MN55767
 Phone: 218-485-4491
 Fax: 218-485-4724
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CHRISTOPHER N THIESSEN · (Male)

NPI Number 1306849914
Status Active
Credentials MD
Entity Individual
Enumeration date 05/27/2005
Last updated 12/04/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 41745
  • MN Medicaid 164028300
Hospital affiliation(s)
  • MERCY HOSPITAL - (Critical Access)
    710 KENWOOD AVENUE SOUTH
    MOOSE LAKE, MN 55767
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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