Search › Wisconsin › 207Q00000X
Randy Theiler, MD
NPI 1659360808 · on the registry since 2005
Practice
- Address
- 451 E Brooklyn St
Chilton, WI 53014 - Phone
- (920) 849-9375
- Organisation at this address
- Agnesian Healthcare Inc
Forefront Dermatology, S.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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