Individual
BRYAN THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
895 CANTON RD NE, MARIETTA, GA 30060-8934
(770) 427-8111
Mailing address
5000 W CHAMBERS ST, MILWAUKEE, WI 53210-1650
(414) 447-2195
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
74323-20
WI
207W00000X
Ophthalmology Physician
Primary
93305
GA
Other
Enumeration date
03/21/2018
Last updated
02/21/2023
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