Organization
MAURICE W. CHUNG, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICE W CHUNG M.D. (PRESIDENT)
(414) 224-7909
Entity
Organization
Contact information
Practice address
2315 N LAKE DR, SUITE 711, MILWAUKEE, WI 53211-4518
(414) 224-7909
(414) 224-7881
Mailing address
2315 N LAKE DR, SUITE 711, MILWAUKEE, WI 53211-4518
(414) 224-7909
(414) 224-7881
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
26944
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30743100
—
WI
Enumeration date
08/31/2006
Last updated
08/22/2020
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