Search › Wisconsin › 111NN0400X
Scott Theirl, D.C
NPI 1649327784 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1009 W Glen Oaks Ln
Suite 207
Mequon, WI 53092 - Phone
- (800) 385-1655
- Organisation at this address
- Divine Personal Care Agency
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 111NN0400X
111NN0400X
- Also registered as
- 111NN0400X
- Licence states on file
- NY, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-04-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin