Individual
WENDY SUE L SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15418 MAIN ST, SUITE 200, EVERETT, WA 98201-4918
(425) 225-8002
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 304-8431
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00046481
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD00046481
LICENSE
WA
Enumeration date
07/27/2006
Last updated
03/15/2013
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