Individual
DR. RACHEL CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-6063
Mailing address
7945 LONE OAK CT SE, CALEDONIA, MI 49316-8045
(810) 956-4929
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704323310
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704323310
MI
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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