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Individual

DR. ANTHONY RUSSELL THEILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 566-9000
Mailing address
285 E STATE ST, SUITE 520, COLUMBUS, OH 43215-4354
(614) 566-9683
(614) 566-8046

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
34.010115
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0326137
OH
Enumeration date
02/25/2007
Last updated
11/19/2025
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