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1811093958
BRENT G THIEL
EVERETT, WA
NPI
1811093958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: WA 42333)
Enumeration Date
2006-09-16
Last Update Date
2021-07-26
Business Address
BRENT G THIEL MD
3726 BROADWAY STE 201
EVERETT, WA 98201-3788
Phone number: 425-317-9119
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Mailing Address
BRENT G THIEL MD
3726 BROADWAY STE 201
EVERETT, WA 98201-3788
Phone number: 425-317-9119
Copy
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