Provider Demographics
NPI:1831295427
Name:THIER, MICHAEL DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:DAVID
Last Name:THIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1020 BAKER STREET
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3813
Mailing Address - Country:US
Mailing Address - Phone:415-425-3862
Mailing Address - Fax:415-563-9770
Practice Address - Street 1:2300 CALIFORNIA ST
Practice Address - Street 2:300
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2754
Practice Address - Country:US
Practice Address - Phone:415-425-3862
Practice Address - Fax:415-563-9770
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA20927207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A22385Medicare UPIN
CA00A209270Medicare PIN