Individual
JULIE ANN THIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS PHARM, BCPP
Contact information
Practice address
1505 NORTH DRIVE, WINNEBAGO, WI 54985
(920) 235-4910
Mailing address
1142 E RUSTIC RD, APPLETON, WI 54911-8548
(920) 915-4645
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
12905
WI
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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