Individual
MICHAEL J THIELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
824 ILLINOIS AVENUE, STEVENS POINT, WI 54481
(715) 342-7500
Mailing address
900 ILLINOIS AVENUE, STEVENS POINT, WI 54481
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
38131
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34460400
—
WI
Enumeration date
02/28/2007
Last updated
12/11/2020
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