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Organization

MICHAEL THEY

Active
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Organization

MICHAEL THEY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GINA WALLACE (MANAGER)
(209) 845-2553
Entity
Organization

Contact information

Practice address
802 14TH ST STE N, MODESTO, CA 95354-1029
(209) 718-6240
(833) 796-8758
Mailing address
PO BOX 576649, MODESTO, CA 95357-6649
(209) 845-2553
(209) 844-0334

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—

Other

Enumeration date
09/14/2020
Last updated
09/14/2020
About Stedi
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