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Individual

PAUL W AUFDERHEIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
10049 KITSAP MALL BLVD NW, SUITE 109, SILVERDALE, WA 98383-8903
(360) 698-2505
(360) 698-2514
Mailing address
10049 KITSAP MALL BLVD NW, SUITE 109, SILVERDALE, WA 98383-8903
(360) 698-2505
(360) 698-2514

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P0000000335
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0022837
L&I
WA
05
1185503
WA
01
1801065040
GROUP NPI EFFECTIVE 01012008
WA
01
480002668
MEDICARE RR
WA
01
AU0282
REGENCE RIDER
WA
Enumeration date
10/18/2006
Last updated
11/10/2011
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