Susan I Bohnemann, PA
Physician Assistant in Tacoma, WA. Individual provider (NPI-1).
NPI number1700902111
StatusActive
Last updated in NPPESMay 9, 2008
Details
- NPI
- 1700902111
- Entity type
- Individual (NPI-1)
- Name
- Susan I Bohnemann
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2007
- Last updated
- May 9, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA10003239 | WA | Yes |
Practice location
209 Martin Luther King Jr WayTacoma, WA 98405-4265
Phone 253-596-3300
Mailing address
Po Box 34584Seattle, WA 98124-1584
Phone 509-241-7316 · Fax 509-241-7349
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