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Theodore Eugene Johnsrude, MD
Urology Physician in Silverdale, Washington
NPI 1265484299

Theodore Eugene Johnsrude is a Urology Physician based in Bremerton, WA. Theodore Eugene Johnsrude practices in Silverdale, WA and has the professional credentials of MD. The NPI Number for Theodore Eugene Johnsrude is 1265484299 and holds a License No. MD00019724 (Washington).

The current practice location address for Theodore Eugene Johnsrude is 9398 Ridgetop Blvd Nw, Silverdale, WA and can be reached out via phone at 360-782-3200 and via fax at 360-782-3245.

Location: 9398 Ridgetop Blvd Nw, Silverdale, WA, 98310-3399
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265484299
Provider Name
Theodore Eugene Johnsrude
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9398 Ridgetop Blvd Nw, Silverdale, WA, 98310-3399
Phone Number
360-782-3200
Fax Number
360-782-3245
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
75433 01 WA LABOR & INDUSTRIES
8316200 05 WA
5358025 01 AETNA
JO4187 01 REGENCE BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
9398 Ridgetop Blvd Nw
City
Silverdale
State
Washington
Zip
98383-8505
Phone Number
360-782-3200
Fax Number
360-782-3245
person
Provider Business Mailing Address Details
Address
9398 Ridgetop Blvd Nw
City
Silverdale
State
Washington
Zip
98383-8505
Phone Number
360-782-3200
Fax Number
360-782-3245
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
MD00019724 (Washington)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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