Individual
DR. HWE JAE SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
139 GARDEN GATE CT, GREEN BAY, WI 54313-4703
(920) 883-9527
Mailing address
139 GARDEN GATE CT, GREEN BAY, WI 54313-4703
(920) 883-9527
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
19404-020
WI
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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