Individual
BRETT J THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5564
Mailing address
6084 COUNTY ROUTE 11, APT. 2, BATH, NY 14810-7729
(813) 541-1331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
558090
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
071102
NY
Other
Enumeration date
11/16/2007
Last updated
04/16/2013
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