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Individual
DR. SUSAN E MCDONALD
Active
Individual
DR. SUSAN E MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00034053
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169199
LABOR & INDUSTRIES
WA
01
—
5070700
AETNA
WA
05
—
8212359
—
WA
01
—
8934625
L&I CVC
WA
01
—
9838MC
REGENCE RIDER
WA
01
—
P00108798
MEDICARE RAILROAD
WA
Enumeration date
12/19/2006
Last updated
01/25/2016
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