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1417911835
BRIAN THIENEMANN MACDOWELL
SAINT PETERSBURG, FL
NPI
1417911835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 30836)
Enumeration Date
2006-04-13
Last Update Date
2019-12-19
Business Address
BRIAN THIENEMANN MACDOWELL MD
4724 DOVER ST NE
SAINT PETERSBURG, FL 33703-4126
Phone number: 828-778-8666
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Mailing Address
BRIAN THIENEMANN MACDOWELL MD
4724 DOVER ST NE
SAINT PETERSBURG, FL 33703-4126
Phone number: 828-778-8666
Copy
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