BRIAN M THIELEN

GREEN BAY, WI
NPI1104972033
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  4725)
Enumeration Date2007-01-25
Last Update Date2007-07-08
Business Address
Dr. BRIAN M THIELEN dmd
1543 PARK PL SUITE 300
GREEN BAY, WI 54304-1970
Phone number: 920-405-3600
Mailing Address
Dr. BRIAN M THIELEN dmd
1543 PARK PL SUITE 300
GREEN BAY, WI 54304-1970
Phone number: 920-405-3600
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