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Individual

STEPHEN M THIELKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1550 N 115TH ST, SEATTLE, WA 98133-8401
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00042570
WA
2084P0805X
Geriatric Psychiatry Physician
MD00042570
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407937717
WA
Enumeration date
10/17/2006
Last updated
12/18/2020
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