Individual
SUSAN J.S. WALTERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6005 244TH ST SW, STE. 111, MOUNTLAKE TERRACE, WA 98043-5400
(425) 275-5555
(425) 275-5590
Mailing address
6005 244TH ST SW, STE. 111, MOUNTLAKE TERRACE, WA 98043-5400
(425) 275-5555
(425) 275-5590
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
28645
WA
Other
Enumeration date
12/06/2005
Last updated
07/08/2007
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