Individual provider · Type 1 NPI

Guoqing Song, PA-C

Surgical Physician Assistant · Appleton, WI

NPI number 1801247176 Active

Practice location

2400 E Capitol Dr
Appleton, WI 54911-8728

Call (920) 831-5050 Map

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070

Other practice locations

  • 2000 Lake Ave, Woodstock, IL 60098-7401 · (815) 337-7100
  • 820 E Grant St, Appleton, WI 54911-3483 · (920) 831-5050

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X085-005846 (IL)
Surgical Physician Assistant Primary 363AS0400X4030 (WI)

Surgical Physician Assistant: Definition to come...

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About NPI 1801247176

Guoqing Song, PA-C's National Provider Identifier is 1801247176, issued on Jun 28, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Appleton, WI. The record was last updated on Sep 1, 2022.