ANN H THEDIECK

GREEN RIVER, WY
NPI1073569745
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WY  6716A)
Enumeration Date2006-05-25
Last Update Date2007-07-08
Business Address
Dr. ANN H THEDIECK MD
1400 UINTA DR
GREEN RIVER, WY 82935-5046
Phone number: 307-872-4500
Mailing Address
Dr. ANN H THEDIECK MD
PO BOX 219
GREEN RIVER, WY 82935-0219
Phone number: 307-872-4500
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