Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gary Fudem, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1336123454

Dr. Gary Fudem, MD is a Plastic and Reconstructive Surgery Physician in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2005.

Licensed in
WA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

325 9th Ave Dept OF Plastic & Reconstructive Surgery
Seattle, WA 98104-2420
Phone: (206) 744-5735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence MD60484351 (WA)

Record details

NPI number1336123454
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 1, 2005
Last updated in NPPESDecember 17, 2014

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