Provider Demographics
NPI:1649483975
Name:THOMPSON, SUSETTE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:SUSETTE
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5510 MEADOWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53711-3553
Mailing Address - Country:US
Mailing Address - Phone:608-576-2009
Mailing Address - Fax:
Practice Address - Street 1:600 HIGHLAND AVE
Practice Address - Street 2:G5/328 CSC, MAIL CODE 3236 - UROLOGY
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792-0001
Practice Address - Country:US
Practice Address - Phone:608-263-5121
Practice Address - Fax:608-265-3948
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2024-06-13
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical