Individual
JOSEPH SHVIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4545 POINT FOSDICK DR NW, GIG HARBOR, WA 98335-1700
(253) 530-8000
Mailing address
4545 POINT FOSDICK DR NW, GIG HARBOR, WA 98335-1700
(253) 530-8000
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
MD 00047502
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0241810
STATE L&I
WA
01
—
0267023
STATE L&I
WA
Enumeration date
02/03/2006
Last updated
11/07/2014
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