Dr. Richard P Thiede
Geriatric Medicine
2323 N Lake Dr
Milwaukee
, Wisconsin 53211-4508
Dr. Richard P Thiede
Geriatric Medicine
2323 N Lake Dr
Milwaukee
, Wisconsin 53211-4508
(414) 326-2218
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Richard P Thiede
- 4425 N Port Washington Rd Department Of Internal Medicine
- Milwaukee, WI
- Zip : 53212-1082
- Phone : (414) 326-2218
Second Address
- Dr. Richard P Thiede
- 2323 N Lake Dr
- Milwaukee, WI
- Zip : 53211-4508
- Phone : (414) 270-4932
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 62929 | WI |
National Provider Identifier
| NPI | 1154421865 |
|---|---|
| Provider Name | Dr. Richard P Thiede |
| First Address | Milwaukee, WI 53212-1082 |
| Second Address | Milwaukee, WI 53211-4508 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/09/2006 |
| Last Update Date | 10/09/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4644006 | (05) | MI |
| A74788 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.