THOMAS H NIETHAMMER, MD, PC
Medical Practice at 5 St, Sheridan, WY

License number
Wyoming 3508A
Category
Medical Practice
Type
Specialist
Owner
Name: DR. THOMAS H NIETHAMMER II M.D.
Title: OWNER
Phone: (307) 673-8383
Address
Address
1333 W 5Th St STE 206, Sheridan, WY 82801
National Provider ID: 1518994961
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Thomas H. Niethammer, M.D., PC

Sheridan, WY

Status:
Inactive
Registration:
Jun 19, 1991
Inactive since:
Aug 10, 2009
Addresses:
1333 W 5 St STE 206, Sheridan, WY 82801 (Physical)
85 Cyn Vw Dr, Sheridan, WY 82801 (Mailing)
State ID:
1991-000267219
Business type:
Profit Corporation - Domestic
Expiration:
Perpetual

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