| NPI | 1255805628 |
|---|---|
| Doing Business As | FREDERICK THYSELL |
| Entity Type | Organization |
| Authorized Contact | FREDERICK JARL THYSELL Owner/Doctor 509-823-3861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |