Basic Information
| Provider Information | |||||||||
| NPI: | 1083720312 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SUHR | ||||||||
| FirstName: | YUN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1100 9TH AVE | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981012756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2065155811 | ||||||||
| FaxNumber: | 2065155886 | ||||||||
| Practice Location | |||||||||
| Address1: | 11800 NE 128TH ST | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | KIRKLAND | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980347208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4258218004 | ||||||||
| FaxNumber: | 4258209860 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/21/2006 | ||||||||
| LastUpdateDate: | 09/17/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD00038554 | WA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0729SU | 01 | WA | BLUE SHIELD | OTHER | US2322647 | 01 | WA | AETNA/USHC SPECIALIST | OTHER | 0039581 | 01 | WA | LABOR & INDUSTRY | OTHER | MD6556W | 01 | WA | ALASKA MEDICAID | OTHER | 8255754 | 05 | WA | MEDICAID |