Individual
STEPHEN EDMUND FRIEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 15TH AVE SE, PUYALLUP, WA 98372-3715
(253) 697-4000
Mailing address
401 15TH AVE SE, PUYALLUP, WA 98372-3715
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00037567
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0170822
LIWA
WA
01
—
0170834
LIWA
WA
05
—
8244451
—
WA
01
—
FR2164
BSWA
WA
01
—
FR2581
BSWA
WA
Enumeration date
05/31/2006
Last updated
08/21/2020
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