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Individual

DR. FREDERICK JARL THYSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2807 W WASHINGTON AVE, STE 117, YAKIMA, WA 98903-1367
(509) 469-1903
(509) 469-1905
Mailing address
1416 JESICA DR, SELAH, WA 98942-1729
(509) 829-3861
(509) 469-1905

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD00024540
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8120578
WA
Enumeration date
08/05/2006
Last updated
01/11/2019
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