Individual
MR. DANIEL JOHN THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CDE
Contact information
Practice address
700 N WESTHAVEN DR, OSHKOSH, WI 54904-6947
(920) 303-8700
Mailing address
25 WEATHERSTONE DR, APPLETON, WI 54914-6538
(920) 539-9426
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
21600612
WI
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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