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1376152173
CONNOR J THIETS
PLYMOUTH, MN
NPI
1376152173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 13728)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2020-07-28
Last Update Date
2021-05-25
Business Address
CONNOR J THIETS PA-C
15700 37TH AVE N STE 150
PLYMOUTH, MN 55446-3675
Phone number: 651-968-5201
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Mailing Address
CONNOR J THIETS PA-C
710 COMMERCE DR STE 200
WOODBURY, MN 55125-4925
Phone number: 651-968-5200
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