Most Relevant Information
Provider Data
| NPI Number: | 1003579871 |
| Provider Name: | STEVEN THANH HO CAA |
| Entity Type: | Individual |
| Taxonomy Code: | 367H00000X |
| Specialty: | Anesthesiologist Assistant |
| License Number: | 198-17 |
Most Important Dates
| Enumeration Date: | 10/19/2021 |
| Last Updated: | 10/19/2021 |
Provider Practice Location
744 S WEBSTER AVE
GREEN BAY
WI
543013505
Practice Location Phone/Fax
| Phone: | 9204333605 |
| Fax: | 9204333589 |
Provider Mailing Location
PO BOX 22487
GREEN BAY
WI
543052487
Provider Mailing Phone/Fax
| Phone: | 9204457222 |
| Fax: | 9204457289 |