Samantha Thiede

NURSE PRACTITIONER

912 S Hickory St

Fond Du Lac, WI 549355530

(920) 929-7490

**NPI:** 1306454053

**Med School:** OTHER

**Experience:** 5 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (1)

AGNESIAN HEALTHCARE INC

912 S Hickory St
Fond Du Lac, WI 549355530

Phone: (920) 929-7490

**Group ID:** 1658289624 | **Group Size:** 360 members

SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC Type: Hospital
430 E DIVISION ST
Phone: (920) 929-2300
Medicare CCN: 520088 View Profile

WAUPUN MEMORIAL HOSPITAL Type: Hospital
620 W BROWN ST
Phone: (920) 324-6512
Medicare CCN: 521327 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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