Individual
WOON-MAN CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-2315
(517) 372-1617
Mailing address
271 WOODLAND PASS, SUITE 120, EAST LANSING, MI 48823-2060
(517) 351-4905
(517) 351-4820
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301036105
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1314105
—
MI
01
—
1600154
PHP
MI
01
—
3003392811
BCBS MI INDIVIDUAL PIN
MI
Enumeration date
06/28/2006
Last updated
07/08/2007
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