Individual
GLORIA J THIELKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS
Contact information
Practice address
12327 STRATFORD DR, CLIVE, IA 50325-8148
(515) 224-7088
(515) 224-9228
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9034
(920) 663-0370
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001168
IA
Other
Enumeration date
07/18/2005
Last updated
07/21/2022
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