DR. Paul M Theisen, D.C.

NPI #1639136278 in Freeport, Illinois

Provider Information

NPI Number: 1639136278
Entity Type: Individual
Name: DR. Paul M Theisen, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Apr 27, 2006
Last Updated: Mar 9, 2011

Practice Location

Address: 1019 W GALENA AVE
City: Freeport
State: Illinois
ZIP Code: 61032-3819
Phone: (815) 232-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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