Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Hannah Song

Individual provider Dermatology Physician · NPI 1710476932

Hannah Song is a Dermatology in Brookfield, Wisconsin. Graduated from Harvard Medical School in 2018, 8 years ago. Practices with Prohealth Medical Group Inc, a 472-clinician group and accepts Medicare assignment. Licensed in Oregon and Wisconsin.

Years since qualifying
8
Trained at
Harvard Medical School
Licensed in
OR, WI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

195 Discovery Dr
Brookfield, WI 53045-2862
Phone: (262) 513-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 84191 (WI)
Dermatology Physician Taxonomy 207N00000X · Licence MD207164 (OR)

Record details

NPI number1710476932
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 2, 2018
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026
Mailing address195 Discovery Dr, Brookfield, WI 53045-2862

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2018 (8 years in practice)
Group practice Prohealth Medical Group Inc — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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