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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEREK M THIEL, DC

Active

DEREK M THIEL, DC is a Nutrition (Chiropractor) healthcare provider located in BROOKFIELD, Wisconsin. NPI 1114283157 is currently active in the NPPES registry. Verify at CMS.

Nutrition (Chiropractor) · BROOKFIELD, WI

Registration Details

NPI Number
1114283157
Provider Type
Individual
Gender
Male
NPI Issued
Apr 4, 2012 (14.383514746418 yrs)
Last Updated
Jun 28, 2021
License
4880-12 (WI)

Practice Information

Address
14335 W CAPITOL DR STE 300
BROOKFIELD, WI, 530052398
Browse WI providers · Browse ZIP 53005
Phone
2624399506
Primary Specialty
Nutrition (Chiropractor)
111NN1001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.