Individual
DR. NICHOLAS RATHJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER FAMILY MEDICINE, TACOMA, WA 98431-5650
(253) 968-0758
Mailing address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(210) 875-7551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
77299
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2015
Last updated
10/05/2021
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