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Individual

KARL STUART TJERANDSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
401 W POPLAR ST, WALLA WALLA, WA 99362-2846
(509) 897-3320
Mailing address
401 W POPLAR ST, WALLA WALLA, WA 99362-2846

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
66833
MN
207R00000X
Internal Medicine Physician
Primary
MD61486738
WA

Other

Enumeration date
01/27/2014
Last updated
05/31/2024
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