Individual
JAMES E THILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
N2359 SCHACHT RD, THOUSAND HILLS HEALTHCARE, LLC, MARINETTE, WI 54143-9735
(715) 582-2940
(715) 582-2940
Mailing address
N2359 SCHACHT RD, THOUSAND HILLS HEALTHCARE, LLC, MARINETTE, WI 54143-9735
(715) 582-2940
(715) 582-2940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29899-020
WI
207Q00000X
Family Medicine Physician
4301055360
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080171065
RR-MEDICARE
WI
01
—
0805500191
BCBS
MI
05
—
32295300
—
WI
05
—
N41200003
—
MI
Enumeration date
09/30/2005
Last updated
07/20/2012
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