Individual
SHEILA WALDROP THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 S 9TH ST, DE PERE, WI 54115-1393
(414) 329-4979
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45178
WI
208M00000X
Hospitalist Physician
45178
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34376100
—
WI
Enumeration date
07/20/2006
Last updated
06/03/2024
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