Individual
SUSAN S BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1229 MADISON ST, STE 1500, SEATTLE, WA 98104-3586
(206) 386-9500
(206) 576-3802
Mailing address
515 MINOR AVE, SEATTLE, WA 98104-2120
(206) 386-9500
(206) 576-3802
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00031154
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151210
L & I
WA
01
—
160053497
RR MEDICARE
WA
05
—
8283657
—
WA
Enumeration date
09/30/2005
Last updated
05/02/2012
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