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Individual

DANIEL KIM FRUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2011 NW MYHRE PL, SILVERDALE, WA 98383-8561
(360) 830-1701
Mailing address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502
(360) 830-1701

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00022155
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070008998
RAILROAD MEDICARE
01
104716
LABOR & INDUSTRIES
WA
01
5899059
AETNA
05
8186256
WA
01
8931440
CRIME VICTIMS COMP
WA
01
FR9546
REGENCE BLUESHIELD
Enumeration date
05/12/2006
Last updated
03/07/2023
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