Type 1 individualNPI 1003259797
MR. TIMOTHY MCMICHAEL THEISEN DMD
122300000X · ERIE, PA
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 122300000X | 122300000X | Primary |
| 1223E0200X | 1223E0200X | Additional |
| 1223G0001X | 1223G0001X | Additional |
| 1223P0221X | 1223P0221X | Additional |
| 1223P0700X | 1223P0700X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s