Individual
DR. DANIELLE J THIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 S 42ND ST, OMAHA, NE 68198-1002
(402) 559-4000
Mailing address
7836 HOWELL ST, OMAHA, NE 68122-2052
(308) 360-0971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7391
NE
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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