Organization
NORTH SPOKANE GYNECOLOGY AND COSMETIC LASER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN J TEWEL M.D. (PRESIDENT)
(509) 482-4313
Entity
Organization
Contact information
Practice address
235 E ROWAN AVE, SUITE 109, SPOKANE, WA 99207-1240
(509) 482-4313
(509) 482-2918
Mailing address
235 E ROWAN AVE, SUITE 109, SPOKANE, WA 99207-1240
(509) 482-4313
(509) 482-2918
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
025209 MD00020672
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1067404
—
WA
01
—
1083777387
NPI
—
Enumeration date
11/15/2007
Last updated
01/20/2010
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