Female

Dr. Susan E. Mcdonald MD

Family Medicine Physician in Bonney Lake, WA(View on Map)

Full Name

Dr. Susan E Mcdonald MD

NPI Number

1740343995

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/19/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

MD00034053

Contact
Information

Purpose

Mailing
Location

Address

3908 10TH ST SE
10004 204TH AVE E

City

Puyallup
Bonney Lake

State

WA
WA

Postal Code

98374-2188
98391-6539

Country

US
US

Telephone Number

(253) 848-5951
(253) 848-5951

Identifiers

Identifier

9838MC
0169199
5070700
8212359
8934625
P00108798

Identifier State

WA
WA
WA
WA
WA
WA

Identifier Issuer

REGENCE RIDER
LABOR & INDUSTRIES
AETNA
Unknown
L&I CVC
MEDICARE RAILROAD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/25/2016

Provider Address

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