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NPI Code Detail

MEDICARE: GARY CHEUNG

MEDICARE: GARY CHEUNG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367H00000XAnesthesiologist Assistant71-17WI

General Provider Information

NPI Number : 1326410002
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY CHEUNG
Provider Business Mailing Address
First Line : 975 PORT WASHINGTON RD
Second Line :
City : GRAFTON
State : WI
Zip : 53024-9201
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4025 N 92ND ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53222-1613
Country : US
Telephone Number : 414-243-6123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2015
Last Update Date : 04/07/2026

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Directions to “ GARY CHEUNG ” Practice Location

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