Individual
DR. SAUL M SUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPT. OF PATHOLOGY, DYNACARE LAB BLDG., ROOM 226, MILWAUKEE, WI 53226-3522
(414) 805-6968
(414) 805-6938
Mailing address
9200 W WISCONSIN AVE, DEPT OF PATHOLOGY, MILWAUKEE, WI 53226-3522
(262) 784-6907
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35-07-5578-S
OH
207ZP0101X
Anatomic Pathology Physician
Primary
50728
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215974795
—
WI
Enumeration date
06/01/2006
Last updated
10/08/2014
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