Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN KAY BOLAND, P.A.
ActiveSUSAN KAY BOLAND, P.A. is a Physician Assistant healthcare provider located in DARIEN, Wisconsin. NPI 1023136512 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DARIEN, WI
Registration Details
- NPI Number
- 1023136512
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2007 (19.361237287269 yrs)
- Last Updated
- Mar 8, 2011
- Licenses
-
085001543 (IL)2122-23 (WI)
Practice Information
- Address
-
300 NORTH WASHINGTON STREETDARIEN MEDICAL CLINICDARIEN, WI, 531141534Browse WI providers · Browse ZIP 53114
- Phone
- 2628821151
- Fax
- 2622961195
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.