Individual
SUSAN PEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 328-7950
Mailing address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
305311
NY
207N00000X
Dermatology Physician
Primary
68120
WI
207ZD0900X
Dermatopathology (Pathology) Physician
305311
NY
207ZD0900X
Dermatopathology (Pathology) Physician
68120
WI
Other
Enumeration date
04/08/2015
Last updated
03/25/2024
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