Individual
DR. ADELE A THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
12161
MS
2084N0400X
Neurology Physician
Primary
12161
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114179
—
MS
05
—
09013832
—
MS
01
—
130010501
RAILROAD MEDICARE
MS
Enumeration date
08/20/2006
Last updated
10/15/2018
Update your record
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