NPI 1053042515
Elliott Ryan Thieme, AUD
Practice location
- Address
- 29201 Telegraph Rd STE 500, Southfield, MI 48034-7648
- Phone
- (248) 569-5985
- Mailing address
- 1310 N Washington Ave APT 210, Royal Oak, MI 48067-1278
Registered specialties
Audiologist
Primary
Registry record
- NPI
- 1053042515
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Jun 2022
- Record last updated
- 23 Jun 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.