Organization
MIDMICHIGAN OBSTETRICS AND GYNECOLOGY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. 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
207V00000X
Obstetrics & Gynecology Physician
Primary
4301050197
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E660200
BCBSM
MI
Enumeration date
11/16/2006
Last updated
11/20/2013
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