Individual
THERESA M CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
2700 W 9TH AVE, STE 203, OSHKOSH, WI 54904-7247
(920) 236-1420
Mailing address
2700 W 9TH AVE, STE 203, OSHKOSH, WI 54904-7247
(920) 236-1420
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
36450
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32119400
—
WI
Enumeration date
09/08/2005
Last updated
08/30/2008
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