Individual
SUZANNE M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1609 116TH AVE NE, BELLEVUE, WA 98004
(425) 283-5093
(425) 283-5093
Mailing address
14212 AMBAUM BLVD SW, #103, BURIEN, WA 98166-1449
(206) 242-6553
(206) 246-0468
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000472
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1098623
—
WA
Enumeration date
09/30/2005
Last updated
03/22/2017
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