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Dr. Gary Fudem, MD
Plastic and Reconstructive Surgery Physician in Seattle, Washington
NPI 1336123454

Gary Fudem is a Plastic and Reconstructive Surgery Physician based in Seattle, WA and is specialized in Plastic and Reconstructive Surgery. Gary Fudem practices in Seattle, WA and has the professional credentials of MD. The NPI Number for Gary Fudem is 1336123454 and holds a License No. MD60484351 (Washington).

The current practice location address for Gary Fudem is 325 9Th Ave, Seattle, WA and can be reached out via phone at 206-744-5735.

Location: 325 9Th Ave, Seattle, WA, 98145-5095
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Provider Profile Details
NPI Number
1336123454
Provider Name
Gary Fudem
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
325 9Th Ave, Seattle, WA, 98145-5095
Phone Number
206-744-5735
Fax Number
Provider Enumeration Date
12/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336123454 05 WA
institution
Provider Business Practice Location Address Details
Address
325 9Th Ave
City
State
Zip
98104-2420
Phone Number
206-744-5735
Fax Number
person
Provider Business Mailing Address Details
Address
325 9Th Ave
City
State
Zip
98104-2420
Phone Number
206-744-5735
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
MD60484351 (Washington)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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