Brian M Thielen

NPI #1063076701 in Peshtigo, Wisconsin

Provider Information

NPI Number
1063076701
Entity Type
Organization
Organization Name
Brian M Thielen
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 29, 2019
Last Updated
Apr 29, 2019

Practice Location

Address
110 N OGDEN RD
ZIP Code
54157-1730
Phone
(715) 582-4571

Authorized Official

Name
BRIAN THIELEN, DMD
Title
DENTIST
Phone
(715) 582-4571

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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