Individual
SUZANNE E PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1229 MADISON ST STE 750, SEATTLE, WA 98104-3540
(206) 386-2101
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD00048001
WA
207VX0000X
Obstetrics Physician
MD00048001
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8477747
—
WA
Enumeration date
05/08/2007
Last updated
11/22/2020
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