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Brian Theisen, M.D. — NPI 1407246226, Detroit, MI | NPI Central

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NPI 1407246226

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Brian Theisen, M.D.

NPI 1407246226 · Anatomic Pathology & Clinical Pathology Physician · Detroit, MI

Provider details

NPI number: 1407246226
Entity type: Individual
Primary specialty: Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: 4301501908 (MI)

Specialties & taxonomies

Anatomic Pathology & Clinical Pathology PhysicianPrimary207ZP0102XLicense 4301501908 (MI)
Allopathic & Osteopathic Physicians
Cytopathology Physician207ZC0500XLicense 4301501908 (MI)
Allopathic & Osteopathic Physicians
Cytopathology Physician207ZC0500XLicense MD045329 (DC)
Allopathic & Osteopathic Physicians
Anatomic Pathology & Clinical Pathology Physician207ZP0102XLicense MD045329 (DC)
Allopathic & Osteopathic Physicians

Practice location

2799 W Grand Blvd

Detroit, MI 48202-2608

Phone: (313) 916-2964

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

2799 W Grand Blvd

Detroit, MI 48202-2608

Additional practice locations (2)

2120 L St Nw
Washington, DC 20037-1527
Phone: (202) 715-4665
3550 Terrace St
A711 Scaife Hall
Pittsburgh, PA 15213-2500
Phone: (412) 802-6013

Registry dates

Enumerated: 2015-02-01
Last updated: 2020-05-08
Certified: 2020-05-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.