Individual
DR. SUSAN TERESA MARCOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
(253) 874-1634
Mailing address
1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 98101-2756
(203) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00037129
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0285081
LABOR AND INDUSTRY
WA
05
—
8561045
—
WA
Enumeration date
04/21/2009
Last updated
12/21/2011
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