Individual
DR. JOSHUA WILLIAM THIEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1034 W BROADWAY AVE, MEDFORD, WI 54451-1310
(715) 785-5006
(715) 785-5190
Mailing address
1034 W BROADWAY AVE, MEDFORD, WI 54451-1310
(715) 785-5006
(715) 785-5190
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6128-12
WI
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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