Organization
DAVID B CHUA, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID B CHUA M.D. (PRESIDENT)
(414) 933-9851
Entity
Organization
Contact information
Practice address
2600 N MAYFAIR RD, SUITE 670, WAUWATOSA, WI 53226-1309
(414) 933-9851
(414) 933-1050
Mailing address
2600 N MAYFAIR RD, SUITE 670, WAUWATOSA, WI 53226-1309
(414) 933-9851
(414) 933-1050
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
20501
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30904600
—
WI
Enumeration date
07/04/2006
Last updated
08/22/2020
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