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TY GULSTROM, PA- C

PA- C

Physician Assistant

NPI: 1558306373Individual

Specialties, Licenses & Credentials

Emergency Medicine Physician

Emergency Medicine

Code: 207P00000X

PA10004348(WA)
Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA10004348(WA)
Medical Physician Assistant

Physician Assistant — Medical

Code: 363AM0700X

PA10004348(WA)

Contact & Hours

Address
1400 E. KINCAID STREET
MOUNT VERNON, WA 98274

Quick Facts

NPI
1558306373
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
3
Locations
1

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