Individual
DR. SUZANNE W KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
10510 GRAVELLY LAKE DR SW, LAKEWOOD CLINIC, TACOMA, WA 98499-5036
(253) 589-7030
(253) 589-7033
Mailing address
1019 PACIFIC AVENUE #300, COMMUNITY HEALTH CARE, TACOMA, WA 98402
(253) 722-1540
(253) 722-1546
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
116111
NY
208000000X
Pediatrics Physician
Primary
60205336
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00459563
—
NY
01
—
100660DL
PREFERRED CARE
NY
01
—
7744066
AETNA
NY
01
—
P010116111
EXCELLUS BC/BS ROCHESTER
NY
Enumeration date
10/19/2006
Last updated
04/24/2013
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