Suzannah Bong is a Surgical in Menomonee Falls, Wisconsin. Suzannah Bong practices all healthcare services and medical treatments related to Surgical. The NPI Number for Suzannah Bong is 1780704510. The last update date is 2018-10-02.
Suzannah Bong's current location address is W180n8085 Town Hall Rd, Menomonee Falls, Wisconsin. You can contact this provider via phone number 2625321300. The mailing address for Suzannah Bong is W180n8085 Town Hall Rd, Menomonee Falls, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suzannah Bong |
|---|---|
| Address | W180n8085 Town Hall Rd, Menomonee Falls, Wisconsin |
| Phone Number | 2625321300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1780704510 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2018-10-02 |
Provider Mailing Address Detail
| Address | W180n8085 Town Hall Rd |
|---|---|
| City | Menomonee Falls |
| State | Wisconsin (WI) |
| Post Code | 530513518 |
| Phone Number | 2625321300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1780704510 | WI | -- | |
| 41939700 | WI | -- |
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What is the unique identification code assigned to Suzannah Bong by the Centers for Medicare & Medicaid Services?
The Suzannah Bong has been issued the NPI (National Provider Identifier) 1780704510. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Suzannah Bong is physically located?
The Suzannah Bong is physically situated at the following address: W180N8085 Town Hall Rd, Menomonee Falls, WI, 530513518.
What is the Suzannah Bong's area of specialization and corresponding taxonomy classification?
The Suzannah Bong's specialty field is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their specialties.
When did Suzannah Bong receive its 1780704510 assignment?
The Suzannah Bong was assigned its 1780704510 on 2007-03-29, which is the date when this unique identifier was issued to the organization.
As of what date were the Suzannah Bong's details last updated?
The information pertaining to the Suzannah Bong, including its address, specialty, and other details, was most recently updated on 2018-10-02.