Individual
SHANNA SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 454-5767
(920) 735-7618
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 454-5767
(920) 735-7618
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
81623
WI
Other
Enumeration date
02/29/2020
Last updated
08/19/2024
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