David Immanuel Thickman, MD in Carbondale, CO - Radiology

David Immanuel Thickman, MD is a Radiology - Diagnostic Radiology physician based in Carbondale, Colorado. David Immanuel Thickman is licensed to practice in Colorado (license number DR28103) and his current practice location is 109 Sopris Mesa Dr, Carbondale, Colorado. He can be reached at his office (for appointments etc.) via phone at (952) 595-1100.

NPI number for David Immanuel Thickman is 1689650939 and his current mailing address is 11995 Singletree Lane, Ste 500, Eden Prairie, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689650939.

Contact Information

	David Immanuel Thickman, MD
	109 Sopris Mesa Dr, Carbondale, CO 81623-3150
	(952) 595-1100
	(612) 294-4903

Physician's Profile

Full Name	David Immanuel Thickman
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	109 Sopris Mesa Dr, Carbondale, Colorado
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1689650939
Provider Enumeration Date: 12/19/2005
Last Update Date: 05/30/2017

Medical Identifiers

Medical identifiers for David Immanuel Thickman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689650939	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	DR28103 (Colorado)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Immanuel Thickman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
David Immanuel Thickman, MD 11995 Singletree Lane, Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301	David Immanuel Thickman, MD 109 Sopris Mesa Dr, Carbondale, CO 81623-3150 Ph: (952) 595-1100

News Archive

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David Immanuel Thickman, MD - Radiology in Carbondale, CO