Glenn Thiel
Medical Specialty
Professional ID
- NPI: 1487676656
- PECOS ID: 9537104823
- Enrollment ID: I20050627001324
- Credential(MD, DO, DPM): DO
- Medical School:
- Medical School Graduation Year: 1995
Hospital Service
- Hospital CCN1: 050133
- Business Name (LBN)1: Rideout Memorial Hospital
Medical Practices
- Organization Name: Nivano Care Medical Group Inc
- Group Practice ID assigned by PECOS: 0840513321
- Number of Group Practice member: 18
Location
- Address1: 1101 Smith Ln
- Address2:
- City: Roseville
- State: California
- Zip Code: 95661
- Phone Number: (916)245-2452
Medical Practices
- Organization Name: 4md Urgent Care Inc
- Group Practice ID assigned by PECOS: 2769544535
- Number of Group Practice member: 11
Location
- Address1: 3860 El Dorado Hills Blvd
- Address2: Suite 601
- City: El Dorado Hills
- State: California
- Zip Code: 95762
- Phone Number: (916)941-9222
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):