IndividualActive
Ann Thedieck, MD
NPI 1073569745 · Family Medicine Physician · Green River, WY
Provider details
- NPI number
- 1073569745
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- License
- 6716A (WY)
Practice location
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
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.