IndividualActive
Susan Tate, MD
NPI 1184611519 · Emergency Medical Services (Emergency Medicine) Physician · Fort Wainwright, AK
Provider details
- NPI number
- 1184611519
- Entity type
- Individual
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4295 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4076 Neely Road
Fort Wainwright, AK 99703
Phone: (907) 361-5479
Approximate (ZIP-level) locationGet directions
Mailing address
4076 Neely Road
Ft Wainwright, AK 99703
Registry dates
- Enumerated
- 2005-09-30
- Last updated
- 2025-05-28
- Certified
- 2025-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.