Individual
SUZANNE ELIZABETH SKEGRUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
15332 56TH AVE NW, STANWOOD, WA 98292-8912
(425) 345-5522
Mailing address
15332 56TH AVE NW, STANWOOD, WA 98292-8912
(425) 345-5522
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00007247
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7671441
AETNA
WA
01
—
79889
LABOR & INDUSTRIES
WA
01
—
ME6761
REGENCE
WA
Enumeration date
07/05/2007
Last updated
07/08/2007
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