Organization
S T SY MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANTIAGO T SY MD (PRESIDENT)
(414) 281-0400
Entity
Organization
Contact information
Practice address
4666 S 35TH ST, GREENFIELD, WI 53221
(414) 281-0400
(414) 281-0402
Mailing address
4666 S 35TH ST, GREENFIELD, WI 53221
(414) 281-0400
(414) 281-0402
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19332020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309677
—
WI
Enumeration date
09/07/2006
Last updated
03/26/2012
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