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NPI Code Detail

MEDICARE: CHUNG KUANG CHEN M.D.

MEDICARE: CHUNG KUANG CHEN M.D.
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
1207R00000XInternal Medicine Physician256568MA
2208M00000XHospitalist Physician71521WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427499961
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHUNG KUANG CHEN M.D.
Provider Business Mailing Address
First Line : 2845 GREENBRIER RD
Second Line :
City : GREEN BAY
State : WI
Zip : 54311-6519
Country : US
Telephone Number : 920-288-8000
Fax Number :
Provider Business Practice Location Address
First Line : 2845 GREENBRIER RD
Second Line :
City : GREEN BAY
State : WI
Zip : 54311-6519
Country : US
Telephone Number : 920-288-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2013
Last Update Date : 02/04/2026

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Directions to “ CHUNG KUANG CHEN M.D.” Practice Location

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