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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THRESIAMMA AUGUSTINE JOSEPH, MD

Active

THRESIAMMA AUGUSTINE JOSEPH, MD is a Adolescent Medicine (Pediatrics) healthcare provider located in SHOREVIEW, Minnesota. NPI 1144214107 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · SHOREVIEW, MN

Registration Details

NPI Number
1144214107
Provider Type
Individual
Gender
Female
NPI Issued
Sep 7, 2005 (20.963599836399 yrs)
Last Updated
Jul 8, 2007
License
32036 (MN)

Practice Information

Address
3585 LEXINGTON AVE N
STE 350
SHOREVIEW, MN, 551268064
Browse MN providers · Browse ZIP 55126
Phone
6514843942
Fax
6517870519
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X

Other Adolescent Medicine (Pediatrics) Providers in SHOREVIEW, MN

Name Credential NPI
MARGARET JEAN HUSTAD MD 1962496927
WENDY MARION NELMS MCCABE MD 1255325213
JAMES MICHAEL MARQUARDT MD 1114007705
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.