Provider Demographics
NPI:1629002985
Name:CHRISTIE, SUZANNE C (MD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:C
Last Name:CHRISTIE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1206 STRAWBERRY VLG
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-2372
Mailing Address - Country:US
Mailing Address - Phone:415-388-3364
Mailing Address - Fax:415-388-3385
Practice Address - Street 1:655 REDWOOD HWY FRONTAGE RD
Practice Address - Street 2:# 216
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-3034
Practice Address - Country:US
Practice Address - Phone:415-383-3500
Practice Address - Fax:415-383-3554
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2011-01-19
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Provider Licenses
StateLicense IDTaxonomies
CAG80284208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics