MR. Patrick Roland Thibeault
NPI #1437392834 in Cedar Lake, Indiana
Provider Information
- NPI Number
- 1437392834
- Entity Type
- Individual
- Name
- MR. Patrick Roland Thibeault
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Apr 14, 2009
- Last Updated
- May 3, 2013
Practice Location
- Address
- 14018 S ANNAPOLIS CT
- City
- Cedar Lake
- State
- Indiana
- ZIP Code
- 46303-7283
- Phone
- (219) 765-9141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Family — Family |
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