Individual provider · Type 1 NPI
Suzannah Bong, PA
Surgical Physician Assistant · Menomonee Falls, WI
NPI number
1780704510
Active
Practice location
W180N8085 Town Hall Rd, Cmh Heart And Vascular Center
Menomonee Falls, WI 53051-3518
Other practice locations
- 2315 E Moreland Blvd, Waukesha, WI 53186-2939 · (262) 532-5700
- 16650 W Bluemound Rd Ste 200, Brookfield, WI 53005-5959 · (262) 827-9200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1780704510
Suzannah Bong, PA's National Provider Identifier is 1780704510, issued on Mar 29, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Menomonee Falls, WI. The record was last updated on Oct 2, 2018.