Organization
FREDERICK J THYSELL MD INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK JARL THYSELL MD (PRESIDENT)
(509) 823-3861
Entity
Organization
Contact information
Practice address
1416 JESICA DR, SELAH, WA 98942-1729
(509) 823-3861
(509) 697-3819
Mailing address
1416 JESICA DR, SELAH, WA 98942-1729
(509) 823-3861
(509) 697-3819
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD000024540
WA
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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