Individual
DR. GLENN THIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
N20015 ECHO LAKE RD, NIAGRA, WI 54151
(715) 324-6019
Mailing address
PO BOX 312, PEMBINE, WI 54156-0312
(715) 324-6019
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25458
WI
Other
Enumeration date
04/28/2016
Last updated
05/17/2026
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