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Individual

DR. DANIEL GEORGE THIELEMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7011 A C SKINNER PKWY, SUITE 160, JACKSONVILLE, FL 32256-6954
(904) 493-3333
(904) 493-2222
Mailing address
PO BOX 551308, JACKSONVILLE, FL 32255-1308
(904) 493-3333
(904) 493-2222

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
6202
NE
2084N0400X
Neurology Physician
MD.31021
AL
2084N0400X
Neurology Physician
MD440746
PA
2084N0400X
Neurology Physician
ME 110419
FL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
ME110419
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004022800
FL
Enumeration date
06/30/2010
Last updated
10/05/2015
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