| Doctor Name: | DR. GRETCHEN ELIZABETH THIEMECKE |
| NPI Number: | 1508997057 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 20A9830 |
| Business Practice Address: | Naval Hospital Camp Pendleton Santa Margarita Road, Bldg H100 Camp Pendleton, CA - 920555191 |
| Business Phone Number: | 8059826320 |
| Business Fax Number: | |
| Mailing Address: | 2761 Harbor Blvd, VENTURA |
| State: | CA |
| Postal Code: | 930014108 |
| Phone Number: | 7146143638 |
| Fax Number: | |
| NPI Enumeration Date: | 03/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20A9830 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |