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Individual

DR. SUSAN PAMELA YI WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-0667
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60295589
WA
207RN0300X
Nephrology Physician
Primary
MD60295589
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1821227497
WA
Enumeration date
07/04/2009
Last updated
10/21/2014
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