Michael Robert Berg Thayer

Individual provider Intermediate Emergency Medical Technician · NPI 1356889976

Michael Robert Berg Thayer is an Intermediate Emergency Medical Technician in Tacoma, Washington. Practices as a sole proprietor. Licensed in Montana.

Licensed in: MT
In the registry since: 2017
Specialties on file: 2

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Practice location Address checks out

Madigan Army Medical Center 9040JACKSON Ave Attn: Mchj-Clq-C
Tacoma, WA 98431-1100
Phone: (253) 968-1110

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intermediate Emergency Medical Technician (primary)	Taxonomy 146M00000X · Licence A2008424
Intermediate Emergency Medical Technician	Taxonomy 146M00000X · Licence MED-AEMT-LIC-40939 (MT)

Record details

NPI number	1356889976
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	February 2, 2017
Last updated in NPPES	February 2, 2017