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Search › Michigan › 207ZP0102X

Brian Theisen, M.D

NPI 1407246226 · on the registry since 2015

Practice

Address
2799 W Grand Blvd
Detroit, MI 48202
Phone
(313) 916-2964
Organisation at this address
Pcor Llc
Henry Ford Hospital
Henry Ford Hospital
Henry Ford Hospital
Henry Ford Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2,594

Additional practice sites

  • 3550 Terrace St, Pittsburgh, PA
  • 2120 L St Nw, Washington, DC

Registry record

Primary taxonomy
207ZP0102X
207ZP0102X
Also registered as
207ZC0500X
207ZC0500X
207ZP0102X
Licence states on file
MI, DC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-05-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan