DR. Diane Thaler, M.D.

NPI #1902868490 in Sturgeon Bay, Wisconsin

Provider Information

NPI Number: 1902868490
Entity Type: Individual
Name: DR. Diane Thaler, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Apr 3, 2006
Last Updated: Feb 24, 2021

Practice Location

Address: 33 GREEN BAY RD
City: Sturgeon Bay
State: Wisconsin
ZIP Code: 54235-2831
Phone: (920) 683-5278

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Dermatology	207N00000X	Primary

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