Susan S.B. Tate, M.D. Valid NPI
Individual provider · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Louisville, KY
- NPI
- 1811913585
- Type
- Individual (Type 1)
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (Obstetrics & Gynecology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207VF0040X
- License number
- 39021 (KY)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2006-07-14
- Last updated
- 2014-09-29
Practice location
2934 Breckenridge Ln Ste 2
Louisville, KY 40220-3903
(502) 454-7871