Individual
DR. BRUCE M THIELKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
11752 SAN ROSARITA CT, LAS VEGAS, NV 89138-6022
(702) 606-2071
Mailing address
11752 SAN ROSARITA CT, LAS VEGAS, NV 89138-6022
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
14061
NV
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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