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Individual

HANNAH SONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
195 DISCOVERY DR, BROOKFIELD, WI 53045-2862
(262) 513-7100
Mailing address
195 DISCOVERY DR, BROOKFIELD, WI 53045-2862
(262) 513-7100

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
84191
WI
207N00000X
Dermatology Physician
MD207164
OR

Other

Enumeration date
05/02/2018
Last updated
03/25/2026
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