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1891784757
FREDERICK THANE DEWEESE
PADUCAH, KY
NPI
1891784757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: KY 36333)
Enumeration Date
2005-10-13
Last Update Date
2024-05-01
Business Address
Dr. FREDERICK THANE DEWEESE M.D.
200 CLINT HILL BLVD
PADUCAH, KY 42001-6768
Phone number: 270-442-9461
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Mailing Address
Dr. FREDERICK THANE DEWEESE M.D.
200 CLINT HILL BLVD
PADUCAH, KY 42001-6768
Phone number: 270-442-9461
Copy
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