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Individual

TRENTON TODD THELEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
6420 ROCKLEDGE DR STE 4920, BETHESDA, MD 20817-7848
(301) 896-3330
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C07759
MD

Other

Enumeration date
08/19/2020
Last updated
05/12/2022
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