Individual
DEREK M THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
14335 W CAPITOL DR STE 300, BROOKFIELD, WI 53005-2398
(262) 439-9506
Mailing address
2625 BUTTERFIELD RD STE 301N, OAK BROOK, IL 60523-1266
(630) 468-1824
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
4880-12
WI
Other
Enumeration date
04/04/2012
Last updated
06/28/2021
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