IndividualActive
Guoqing Song, PA-C
NPI 1801247176 · Surgical Physician Assistant · Appleton, WI
Provider details
- NPI number
- 1801247176
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 085-005846 (IL)
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Registry dates
- Enumerated
- 2016-06-28
- Last updated
- 2022-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.