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Individual

BRIAN WOONGKI HONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1405 MILL ST, NEW LONDON, WI 54961-2155
(920) 531-2400
(920) 531-2450
Mailing address
100 THEDA CLARK MEDICAL PLZ, STE 400, NEENAH, WI 54956-2763
(920) 725-4527
(920) 729-2378

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
65808
WI
208600000X
Surgery Physician
PENDING
IL

Other

Enumeration date
05/13/2011
Last updated
05/03/2020
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