Geoffrey S. Van Thiel MD

NPI 1316103971 - Orthopaedic Surgery - 207XX0005X

NPI Details
NPI 1316103971
Gender Male
Enumeration Date 08/04/2008
Last Updated 03/20/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
324 ROXBURY RD
ROCKFORD IL, 61107-5090, US
Phone (815) 398-9491
Fax (815) 381-7498
Business Location
BOX 78534
MILWAUKEE WI, 53278, US
Phone (815) 398-9491
Fax (815) 381-7498
Toxanomy
Taxonomy Code 207XX0005X
License State Illinois
License Number 125-052058
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According to our database, Geoffrey S. Van Thiel MD NPI is 1316103971, taxonomy code is 207XX0005X and license number is 125-052058, license state is located at Illinois. Geoffrey S. Van Thiel MD physically located at 324 Roxbury Rd, Rockford IL, 61107-5090. NPI Number Geoffrey S. Van Thiel MD has the Individual type.

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1316103971 NPI number is provided on an as is basis without warranty of any kind. 1316103971 is maintained by the National Plan & Provider Enumeration System. The contents of Geoffrey S. Van Thiel MD are for informational purposes only.