Kathleen V. Thieu
Periodontist in Lake Elmo, MN(View on Map)
Full Name
Kathleen Van Thieu
NPI Number
1588194567
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/13/2017
Specialties
(Taxonomies)Licenses
State
Minnesota
License Number
D13834
Contact
Information
Purpose
Mailing
Location
Address
2200 COUNTY ROAD C W STE 2210
8650 HUDSON BLVD N STE 105
City
Roseville
Lake Elmo
State
MN
MN
Postal Code
55113-2551
55042-8416
Country
US
US
Telephone Number
(651) 746-2815
(952) 444-9511
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/03/2020