Frederick J Thysell Md Inc Ps | |
1416 Jesica Dr Selah WA 98942-1729 | |
(509) 823-3861 | |
(509) 697-3819 |
Full Name | Frederick J Thysell Md Inc Ps |
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Speciality | General Practice |
Location | 1416 Jesica Dr, Selah, Washington |
Authorized Official Name and Position | Frederick Jarl Thysell (PRESIDENT) |
Authorized Official Contact | 5098233861 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Frederick J Thysell Md Inc Ps 1416 Jesica Dr Selah WA 98942-1729 Ph: (509) 823-3861 | Frederick J Thysell Md Inc Ps 1416 Jesica Dr Selah WA 98942-1729 Ph: (509) 823-3861 |
NPI Number | 1427487255 |
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Provider Enumeration Date | 11/02/2013 |
Last Update Date | 11/02/2013 |
Identifier | Type | State | Issuer |
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1427487255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | MD000024540 (Washington) | Primary |