Jonathan D Thelen, PA-C
Physician Assistant in East Lansing, MI. Individual provider (NPI-1).
NPI number1760614101
StatusActive
Last updated in NPPESAug 19, 2009
Details
- NPI
- 1760614101
- Entity type
- Individual (NPI-1)
- Name
- Jonathan D Thelen
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2009
- Last updated
- Aug 19, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601005596 | MI | Yes |
Practice location
1650 Ramblewood Dr Ste 100East Lansing, MI 48823-7396
Phone 517-332-1200 · Fax 517-351-7122
Mailing address
1650 Ramblewood Dr Ste 100East Lansing, MI 48823-7396
Phone 517-332-1200 · Fax 517-351-7122
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All 83 Physician Assistant providers in East Lansing · All 2,920 providers in East Lansing
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