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Individual

DANIEL THIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3705 TOWER AVE, SUPERIOR, WI 54880-5338
(715) 392-9520
Mailing address
127 10TH ST, CLOQUET, MN 55720-1820

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
124980
MN
183500000X
Pharmacist
Primary
20471-40
WI

Other

Enumeration date
10/13/2020
Last updated
10/13/2020
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