| Susan Kay Boland, PA | |
|
300 North Washington Street, Darien Medical Clinic, Darien, WI 53114-1534 | |
| (262) 882-1151 | |
| (262) 296-1195 |
| Full Name | Susan Kay Boland |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 300 North Washington Street, Darien, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023136512 | NPI | - | NPPES |
| 1023136512 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085001543 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 2122-23 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Kay Boland, PA 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 Ph: (608) 364-2200 | Susan Kay Boland, PA 300 North Washington Street, Darien Medical Clinic, Darien, WI 53114-1534 Ph: (262) 882-1151 |
Hillary L Kreager, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 124 N Walworth St, Darien, WI 53114 Phone: 262-725-3331 |