Individual
SUSAN E DETWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 520-5307
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MD00014967
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0247886
LABOR & INDUSTRY
WA
01
—
220024123
RAILROAD MEDICARE
—
05
—
8270605
—
WA
01
—
MD967WA
ALASKA MEDICAID
WA
01
—
PA6985
BLUE SHIELD
WA
01
—
US0861500
AETNA/USHC SPECIALIST
WA
Enumeration date
07/18/2006
Last updated
07/22/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us