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Individual

GEORGE RICHARD SCHADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD60340604
WA
390200000X
Student in an Organized Health Care Education/Training Program
4301089615
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1740491265
WA
Enumeration date
05/25/2007
Last updated
07/09/2013
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