Pamela A Thiesing

NPI #1558535047 in Hayward, Wisconsin

Provider Information

NPI Number: 1558535047
Entity Type: Individual
Name: Pamela A Thiesing
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Apr 16, 2008
Last Updated: Apr 16, 2008

Practice Location

Address: 13380 W TREPANIA RD
City: Hayward
State: Wisconsin
ZIP Code: 54843-2186
Phone: (715) 638-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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