Individual
KISIAH THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 POWELL DR, DUNDEE, MI 48131-8644
(419) 467-4397
Mailing address
100 POWELL DR, DUNDEE, MI 48131-8644
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
47044310886
MI
Other
Enumeration date
01/09/2021
Last updated
01/09/2021
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