Theodore Eugene Johnsrude, M.D.

NPI #1265484299 in Silverdale, Washington

Provider Information

NPI Number: 1265484299
Entity Type: Individual
Name: Theodore Eugene Johnsrude, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: May 17, 2006
Last Updated: Mar 7, 2023

Practice Location

Address: 9398 RIDGETOP BLVD NW
City: Silverdale
State: Washington
ZIP Code: 98383-8505
Phone: (360) 782-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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