Individual
THERESA M TEREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3315 S 23RD ST STE 200, TACOMA, WA 98405-1616
(253) 552-1200
(253) 552-1239
Mailing address
3315 S 23RD ST STE 200, TACOMA, WA 98405-1616
(253) 552-1200
(253) 552-1239
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00024879
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0257059
STATE L&I
WA
05
—
1029420
—
WA
01
—
TE2772
REGENCE BLUE SHIELD
WA
Enumeration date
11/16/2006
Last updated
04/06/2011
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