LEYDA M SU HAM

CUDAHY, WI
NPI1912169657
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  5101017869)
Enumeration Date2008-06-25
Last Update Date2023-12-15
Business Address
Dr. LEYDA M SU HAM D.O.
5900 S LAKE DR
CUDAHY, WI 53110-3171
Phone number: 414-489-9000
Mailing Address
Dr. LEYDA M SU HAM D.O.
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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