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Individual

DIETER KURT THOMAS SCHMIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15906 MILL CREEK BLVD, STE 105, MILL CREEK, WA 98012-1603
(425) 385-2009
(425) 939-0807
Mailing address
1793 13TH ST SE, SALEM, OR 97302-2541
(971) 273-1024
(503) 362-8435

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD00044310
WA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD00044310
WA
207ND0900X
Dermatopathology Physician
MD00044310
WA
207NP0225X
Pediatric Dermatology Physician
MD00044310
WA
207NS0135X
Procedural Dermatology Physician
MD00044310
WA

Other

Enumeration date
09/26/2006
Last updated
01/29/2021
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