Individual
SUZANNE GAUDREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.S.
Contact information
Practice address
950 PACIFIC AVE, TACOMA, WA 98402-4400
(253) 274-4600
(253) 274-4601
Mailing address
950 PACIFIC AVE, TACOMA, WA 98402-4400
(253) 274-4600
(253) 274-4601
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
35.085390
OH
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
60417743
WA
Other
Enumeration date
11/30/2012
Last updated
04/07/2021
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