Basic Information
| Provider Information | |||||||||
| NPI: | 1417921800 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | THIELGES | ||||||||
| FirstName: | TOBY | ||||||||
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| Credential: | PTMS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7274 108TH AVE SE | ||||||||
| Address2: | |||||||||
| City: | LAMOURE | ||||||||
| State: | ND | ||||||||
| PostalCode: | 584589409 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7018309514 | ||||||||
| FaxNumber: | 7018835464 | ||||||||
| Practice Location | |||||||||
| Address1: | 420 S 7TH ST | ||||||||
| Address2: | |||||||||
| City: | OAKES | ||||||||
| State: | ND | ||||||||
| PostalCode: | 584742024 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7017423267 | ||||||||
| FaxNumber: | 7017423201 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/14/2006 | ||||||||
| LastUpdateDate: | 10/31/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | 1096 | ND | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
No ID Information.