Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Joshua William Marvin Theisen, MD-PHD

Individual provider Pediatrics Physician · NPI 1760747562

Dr. Joshua William Marvin Theisen, MD-PHD is a Pediatrics Physician in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2012
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Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1002
Phone: (612) 365-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2012020973 (MO)

Record details

NPI number1760747562
Entity typeIndividual (Type 1)
GenderMale
Credentials MD-PHD
Sole proprietorYes
NPI enumeratedJuly 8, 2012
Last updated in NPPESDecember 6, 2018

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