Individual
BREANNA THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 E 1ST ST STE 204, DULUTH, MN 55805-2297
(218) 249-5203
Mailing address
1000 E 1ST ST STE 204, DULUTH, MN 55805-2297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14889
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
02/17/2026
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