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NPI Profile for MARK W THIEMANN in CINCINNATI, OH.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1386634046 |
|
| Status | Active | |
| Credentials | P.A.C. | |
| Entity | Individual | |
| Enumeration date | 10/25/2005 | |
| Last updated | 08/19/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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MARK W THIEMANN
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MARK W THIEMANN, P.A.C.