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Individual

THERESA L FROELICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
7210 40TH ST W, STE 100, UNIVERSITY PLACE, WA 98466-4318
(253) 564-0170
Mailing address
7210 40TH ST W, STE 100, UNIVERSITY PLACE, WA 98466-4318
(253) 564-0170

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OP00001283
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
160059867
RAILROAD
WA
01
167394
L & I
WA
01
176262
L & I
WA
05
8372716
WA
01
8931181
CRIME VICTIMS
WA
01
8934254
CRIME VICTIMS
WA
Enumeration date
06/21/2006
Last updated
11/16/2010
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