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Individual

XIAOMING SUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11211 120TH AVE STE A009B, PLEASANT PRAIRIE, WI 53158-1703
(262) 283-5333
(262) 912-0137
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439

Taxonomy

Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
64617-20
WI
207ZD0900X
Dermatopathology (Pathology) Physician
64617-20
WI
207ZP0101X
Anatomic Pathology Physician
36108283
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
64617-20
WI

Other

Enumeration date
03/08/2007
Last updated
11/08/2023
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