Individual
DR. JOHN DAVID SUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 N 87TH ST, THE EYE INSTITUTE, MILWAUKEE, WI 53226-4812
(414) 456-2020
(414) 456-6300
Mailing address
925 N 87TH ST, THE EYE INSTITUTE, MILWAUKEE, WI 53226-4812
(414) 456-2020
(414) 456-6300
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
34950
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619047735
—
WI
05
—
32237800
—
WI
Enumeration date
11/08/2006
Last updated
03/01/2017
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