Individual
MR. FRITZ THYBULLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPSGT
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
14617
NY
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
14617
NY
Other
Enumeration date
06/27/2013
Last updated
07/08/2013
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