Individual
DR. TRACI SUZANNE GRANSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4011 TALBOT RD S STE 300, RENTON, WA 98055-5791
(425) 656-5060
(425) 656-5047
Mailing address
4011 TALBOT RD S STE 300, RENTON, WA 98055-5791
(425) 656-5060
(425) 656-5047
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD00039700
WA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD00039700
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1090604
—
WA
01
—
160279
WA LABOR & INDUSTRIES
WA
Enumeration date
01/29/2006
Last updated
01/05/2023
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