Individual
NATHANIAL I KIELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3653
Mailing address
200 E WASHINGTON ST, P O BOX 8031, APPLETON, WI 54912-8031
(800) 236-1489
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
645
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34888100
—
WI
Enumeration date
04/06/2006
Last updated
07/09/2007
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