Jonathan D. Thelen, PA-C

Physician Assistant · East Lansing, MI

Individual Active NPI

NPI number 1760614101

Practice location

1650 Ramblewood Dr Ste 100
East Lansing, MI 48823-7396
Phone
(517) 332-1200
Fax
(517) 351-7122

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NPI record

NPI
1760614101
Entity type
Individual (Type 1)
Enumeration date
August 19, 2009
Last updated
August 19, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 5601005596 MI

About Jonathan Thelen

Jonathan D. Thelen, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1650 Ramblewood Dr Ste 100, East Lansing, MI 48823-7396. The NPI number 1760614101 was assigned on August 19, 2009 and the record was last updated on August 19, 2009.

Jonathan Thelen lists a license in the registry: #5601005596 (MI) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan D. Thelen, PA-C?

The NPI number is 1760614101.

What is the phone number of Jonathan Thelen?

The phone number listed for the practice location is (517) 332-1200.

Where is Jonathan Thelen located?

1650 Ramblewood Dr Ste 100, East Lansing, MI 48823-7396.

What is the taxonomy code for Jonathan Thelen?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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