# SOUTH CENTER MEDICAL GROUP LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508856030
- **Authorized official:** DR. WILLIAM W CHUNG MD (PRESIDENT/SOUTH CENTER MEDICAL GRP)
- **Authorized official phone:** (414) 645-4240

## Contact information

- **Practice address:** 3201 S 16TH ST, ROOM 1000, MILWAUKEE, WI 53215-4537
- **Practice address phone:** (414) 645-4240
- **Practice address fax:** (414) 645-8240
- **Mailing address:** 3201 S 16TH ST, ROOM 1000, MILWAUKEE, WI 53215-4537
- **Mailing address phone:** (414) 645-4240
- **Mailing address fax:** (414) 645-8240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | WI | Yes |

## Other

- **Enumeration date:** 10/26/2005
- **Last updated:** 08/22/2020