Individual
SUSAN ERIN MCCORMICK
Active
Individual
SUSAN ERIN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00034670
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039580
LABOR AND INDUSTRIES
WA
01
—
100014505
RAILROAD MEDICARE
WA
01
—
1174611420
MONTANA DSHS
WA
05
—
8210619
—
WA
01
—
MC4447
BLUE SHIELD NUMBER
WA
05
—
MD3467
—
AK
01
—
US2036618
AETNA SPECIALIST PIN
WA
Enumeration date
10/11/2006
Last updated
11/16/2012
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