Alan Thiede, PA-C

NPI #1548893092 in Pewaukee, Wisconsin

Provider Information

NPI Number
1548893092
Entity Type
Individual
Name
Alan Thiede, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Feb 12, 2020
Last Updated
Aug 13, 2020

Practice Location

Address
N15W28300 GOLF RD
ZIP Code
53072-4800
Phone
(262) 303-5055

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Physician Assistant

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