Individual
KARL S THEIL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(216) 986-1314
(216) 986-1191
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(800) 223-2273
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35048664T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0630160
—
OH
Enumeration date
05/13/2006
Last updated
07/08/2007
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