Individual
DR. DERRICK THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
USAMEDDAC 2480 LLEWELLYN AVE, FORT MEADE, MD 20755
(703) 696-3942
Mailing address
USAMEDDAC 2480 LLEWELLYN AVE, FORT MEADE, MD 20755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101258845
VA
Other
Enumeration date
06/06/2014
Last updated
07/25/2025
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