Individual
SUSIE RO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
MD00048739
WA
2084N0400X
Neurology Physician
Primary
036107977
IL
2084N0400X
Neurology Physician
4301511152
MI
2084N0400X
Neurology Physician
MD00048739
WA
2084N0600X
Clinical Neurophysiology Physician
MD00048739
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1056456
—
WA
Enumeration date
12/08/2006
Last updated
10/17/2025
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