Susan J Perez in Glendale - Physician Assistant

Susan J Perez - NPI 1679720312

Susan J Perez is a Physician Assistant in Glendale, Wisconsin. Susan J Perez practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Susan J Perez is 1679720312. The last update date is 2015-09-14.

Susan J Perez's current location address is 400 W River Woods Pkwy, Glendale, Wisconsin. You can contact this provider via phone number 4144653091 and fax number 4144654842. The mailing address for Susan J Perez is 400 W River Woods Pkwy, Glendale, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan J Perez
Address 400 W River Woods Pkwy, Glendale, Wisconsin
Phone Number 4144653091
Fax Number 4144654842
Sole Proprietor N
Credentials P.A.- C

NPI Number Detail

NPI Number 1679720312
Provider Enumeration Date 2008-08-25
Last Updated Date 2015-09-14

Provider Mailing Address Detail

Address 400 W River Woods Pkwy
City Glendale
State Wisconsin (WI)
Post Code 532121060
Phone Number 4144653091
Fax Number 4144654842

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 2295023
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Susan J Perez

What is the unique provider identifier assigned to Susan J Perez?

The Susan J Perez has been issued the NPI (National Provider Identifier) 1679720312 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Susan J Perez is physically located?

The Susan J Perez is situated at the following address: 400 W River Woods Pkwy, Glendale, WI 532121060.

What is Susan J Perez's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Susan J Perez is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

When was the Susan J Perez's 1679720312 issued?

The Susan J Perez's 1679720312 was issued on 2008-08-25.

As of what date were the details related to Susan J Perez most recently updated or revised?

The information pertaining to Susan J Perez, including its address, specialty, and other relevant details, was last updated or revised on 2015-09-14.

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