Individual
BRENT G THIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3726 BROADWAY, STE 201, EVERETT, WA 98201-3788
(425) 317-9119
(425) 317-9118
Mailing address
3726 BROADWAY, STE 201, EVERETT, WA 98201-3788
(425) 317-9119
(425) 317-9118
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
42333
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019547
—
WA
Enumeration date
09/16/2006
Last updated
07/26/2021
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