Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath |
NPI | 1033452172 |
---|---|
Provider Name | Thomas Briegel |
First Address | Blue Grass, IA 52726-9424 |
Second Address | Davenport, IA 52806-2100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2013 |
Last Update Date | 27/03/2013 |