Individual
JANE BROOKE THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP, BC
Contact information
Practice address
555 MIDTOWNE STREET NE, SUITE 400, GRAND RAPIDS, MI 49503-5731
(616) 588-1200
(616) 588-1250
Mailing address
555 MIDTOWNE STREET NE, SUITE 400, GRAND RAPIDS, MI 49503-5731
(616) 588-1200
(616) 588-1250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704083485
MI
Other
Enumeration date
10/10/2005
Last updated
06/07/2011
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