Individual
BRAD J. THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1155 N MAYFAIR RD, MILWAUKEE, WI 53226-3421
(414) 456-8996
Mailing address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
48588-020
WI
208D00000X
General Practice Physician
48588-020
WI
Other
Enumeration date
09/26/2006
Last updated
09/11/2025
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