Individual
MICHAEL TAEHOON CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5253 PROVIDENCE RD STE 100, VIRGINIA BEACH, VA 23464-4201
(757) 252-4640
(757) 510-9343
Mailing address
5253 PROVIDENCE RD STE 100, VIRGINIA BEACH, VA 23464-4201
(757) 252-4640
(757) 510-9343
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0103300727
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9304894
—
VA
Enumeration date
09/12/2005
Last updated
05/06/2024
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