Organization
MID MICHIGAN OBSTETRICS & GYNECOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ALLEN THIELE MD (OWNER)
(989) 631-6730
Entity
Organization
Contact information
Practice address
3016 W WACKERLY ST, MIDLAND, MI 48640-6160
(989) 631-6730
(989) 631-4968
Mailing address
3016 W WACKERLY ST, MIDLAND, MI 48640-6160
(989) 631-6730
(989) 631-4968
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
MI
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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