Individual
PEGGY TONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
38666
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32332500
—
WI
01
—
P00602507
RR MEDICARE
WI
Enumeration date
09/21/2005
Last updated
01/29/2026
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