Individual
POLLY CLARE CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD CDE
Contact information
Practice address
3031 WEST GRAND BOULEVARD, HENRY FORD HOSPITAL ENDOCRINOLOGY, DETROIT, MI 48202-3141
(313) 916-2127
(313) 916-8343
Mailing address
2428 LONDON DR, TROY, MI 48085-3536
(248) 524-9547
(248) 524-9547
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
TO BE ISSUED 2007
MI
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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