Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | MD 00048452 | WA |
NPI | 1225148539 |
---|---|
Provider Name | Susan Margaret Halbach |
First Address | Seattle, WA 98105-3901 |
Second Address | Seattle, WA 98195-6340 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 25/10/2021 |