Search › Wisconsin › 163W00000X
Crystal Thiem
NPI 1982366001 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2595 Haven Rd
Green Bay, WI 54313 - Phone
- (920) 419-8184
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-06
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