Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK L THAYER, MD
ActiveMARK L THAYER, MD is a General Surgery healthcare provider located in GRANTSBURG, Wisconsin. NPI 1568424778 is currently active in the NPPES registry. Verify at CMS.
General Surgery · GRANTSBURG, WI
Registration Details
- NPI Number
- 1568424778
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2006 (20.394711458596 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
32528 (WI)31570 (MN)32528 (WI)
Practice Information
- Address
-
257 W SAINT GEORGE AVEGRANTSBURG, WI, 548407827Browse WI providers · Browse ZIP 54840
- Phone
- 7154635353
- Fax
- 7154632753
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- General Surgery
- Additional Specialty
- General Surgery
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.