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Individual

CALEB THIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
25 MICHIGAN ST NE STE 2100, GRAND RAPIDS, MI 49503-2526
(616) 391-3777
Mailing address
25 MICHIGAN ST NE STE 2100, GRAND RAPIDS, MI 49503-2526
(616) 391-3777

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301107875
MI
208000000X
Pediatrics Physician
4301107875
MI

Other

Enumeration date
06/17/2015
Last updated
06/17/2015
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