Individual provider · Type 1 NPI
Michael Thomas Pieschel
Gerontology Clinical Nurse Specialist · O Fallon, IL
NPI number
1639039936
Active
Practice location
1 Saint Elizabeth Blvd # 3000
O Fallon, IL 62269-1099
Mailing address
397 Blue Bird Ln
Troy, IL 62294-2109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Clinical Nurse Specialist Primary | 364SG0600X | 209.033858 (IL) |
Gerontology Clinical Nurse Specialist: Definition to come...
About NPI 1639039936
Michael Thomas Pieschel's National Provider Identifier is 1639039936, issued on Nov 18, 2025. The primary taxonomy on file is Gerontology Clinical Nurse Specialist (364SG0600X), and the practice location is in O Fallon, IL. The record was last updated on Aug 24, 2026.