HWE JAE SONG

GREEN BAY, WI
NPI1235344730
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207LP3000X Anesthesiology, Pediatric Anesthesiology
(Licence: WI  19404-020)
Enumeration Date2007-05-10
Last Update Date2007-07-08
Business Address
Dr. HWE JAE SONG M.D.
139 GARDEN GATE CT
GREEN BAY, WI 54313-4703
Phone number: 920-883-9527
Mailing Address
Dr. HWE JAE SONG M.D.
139 GARDEN GATE CT
GREEN BAY, WI 54313-4703
Phone number: 920-883-9527