| Brian M Thielen | |
|
110 N Ogden Rd Peshtigo WI 54157-1730 | |
| (715) 582-4571 | |
| (715) 582-4986 |
| Full Name | Brian M Thielen |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 110 N Ogden Rd, Peshtigo, Wisconsin |
| Authorized Official Name and Position | Brian Thielen (DENTIST) |
| Authorized Official Contact | 7155824571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian M Thielen 110 N Ogden Rd Peshtigo WI 54157-1730 Ph: (715) 582-4571 | Brian M Thielen 110 N Ogden Rd Peshtigo WI 54157-1730 Ph: (715) 582-4571 |
| NPI Number | 1063076701 |
|---|---|
| Provider Enumeration Date | 04/29/2019 |
| Last Update Date | 04/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063076701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Jeffrey W Orear Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 N Ogden Rd, Peshtigo, WI 54157 Phone: 715-582-4571 Fax: 715-582-4986 | |
David R. Brostowitz, Dds, Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 W Front St, Peshtigo, WI 54157 Phone: 715-582-3601 |