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Contact Information

SUZANNAH BONG, PA
W180N8085 TOWN HALL RD
CMH HEART AND VASCULAR CENTER
MENOMONEE FALLS, WI53051-3518
 Phone: 262-532-1300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SUZANNAH BONG · (Female)

NPI # 1780704510
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 03/29/2007
Last updated 10/02/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WI Medicaid 1780704510
  • WI Medicaid 41939700
Hospital affiliation(s)
  • COLUMBIA ST MARY'S HOSPITAL MILWAUKEE - (Acute Care)
    2323 N LAKE DR
    MILWAUKEE, WI 53211
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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