Individual
PETER J. THIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
211 N ENGDAHL AVE, OAKLAND, NE 68045-1431
(402) 685-5116
Mailing address
430 N MONITOR ST, WEST POINT, NE 68788-1595
(402) 372-6717
(402) 372-2360
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
868
NE
Other
Enumeration date
08/21/2006
Last updated
07/31/2023
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