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1265484299
THEODORE EUGENE JOHNSRUDE
SILVERDALE, WA
NPI
1265484299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: WA MD00019724)
Enumeration Date
2006-05-17
Last Update Date
2023-03-07
Business Address
-- THEODORE EUGENE JOHNSRUDE M.D.
9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383-8505
Phone number: 360-782-3200
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Mailing Address
-- THEODORE EUGENE JOHNSRUDE M.D.
2512 WHEATON WAY
BREMERTON, WA 98310-3399
Phone number:
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