Individual
MICHAEL JOHN JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 PIERCE ST, SIOUX CITY, IA 51104-3725
(712) 294-5000
(712) 294-5091
Mailing address
2501 PIERCE ST, SIOUX CITY, IA 51104-3725
(712) 294-5000
(712) 294-5091
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22529
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017822
—
IA
01
—
1336127828
GROUP NPI
IA
Enumeration date
12/07/2005
Last updated
05/06/2008
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