Provider Demographics
NPI:1518248921
Name:COUSER, WILLIAM GRIFFITH (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:GRIFFITH
Last Name:COUSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16050 169TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-8949
Mailing Address - Country:US
Mailing Address - Phone:425-415-8436
Mailing Address - Fax:425-949-8438
Practice Address - Street 1:16050 169TH AVE NE
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-8949
Practice Address - Country:US
Practice Address - Phone:425-415-8436
Practice Address - Fax:425-949-8438
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00020107207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology