Individual
MR. THADDEUS PETER PARUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6420 DUTCHMANS PARKWAY, STE 390, LOUISVILLE, KY 40205
(502) 259-9160
(502) 371-0790
Mailing address
6420 DUTCHMANS PARKWAY, STE 390, LOUISVILLE, KY 40205
(502) 259-9160
(502) 371-0790
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TP292
KY
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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