NPI 1053310656

Gloria J Thielking, MPAS

Practitioner Physician Assistant Clive, IA

Practice location

Address: 12327 Stratford Dr, Clive, IA 50325-8148
Phone: (515) 224-7088
Fax: (515) 224-9228
Mailing address: 801 York St, Manitowoc, WI 54220-4630

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 001168 (IA)

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Registry record

NPI: 1053310656
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2005
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.