Individual
SUE ROMANICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11522 NE 20TH ST, BELLEVUE, WA 98004-3005
(425) 462-2531
(425) 454-6176
Mailing address
11522 NE 20TH ST, BELLEVUE, WA 98004-3005
(425) 462-2531
(425) 454-6176
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00028590
WA
207RR0500X
Rheumatology Physician
Primary
MD00028590
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1113166
—
WA
01
—
151480
LABOR & INDUSTRY
WA
01
—
91-2051818
COMMERCIAL
WA
01
—
RO3836
BLUE SHIELD REGENCE
WA
Enumeration date
08/19/2006
Last updated
04/29/2013
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