NPI 1073569745

Ann H Thedieck, MD

Practitioner Family Medicine Physician Green River, WY

Practice location

Address: 1400 Uinta Dr, Green River, WY 82935-5046
Phone: (307) 872-4500
Fax: (307) 872-4595
Mailing address: PO Box 219, Green River, WY 82935-0219

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 6716A (WY)

Other Family Medicine providers in Wyoming →

Registry record

NPI: 1073569745
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 May 2006
Record last updated: 13 Jul 2026

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.