Provider Demographics
NPI:1669633699
Name:HO, SUN-O GREGORY
Entity Type:Individual
Prefix:DR
First Name:SUN-O
Middle Name:GREGORY
Last Name:HO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19040 STILL POINT TRL
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53045-4880
Mailing Address - Country:US
Mailing Address - Phone:262-784-2029
Mailing Address - Fax:
Practice Address - Street 1:19040 STILL POINT TRL
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53045-4880
Practice Address - Country:US
Practice Address - Phone:262-784-2029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI19278207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology