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NPI Code Detail

MEDICARE: WILLIAM B CHUNG M.D.

MEDICARE: WILLIAM B CHUNG 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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician4301063166MI

General Provider Information

NPI Number : 1467458992
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM B CHUNG M.D.
Provider Business Mailing Address
First Line : 4000 WELLNESS DR
Second Line :
City : MIDLAND
State : MI
Zip : 48670-2000
Country : US
Telephone Number : 844-832-1956
Fax Number :
Provider Business Practice Location Address
First Line : 1501 W CHISHOLM ST
Second Line :
City : ALPENA
State : MI
Zip : 49707-1401
Country : US
Telephone Number : 989-356-7252
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 09/18/2024

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