Organization
SOUTH CENTER MEDICAL GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM W CHUNG MD (PRESIDENT/SOUTH CENTER MEDICAL GRP)
(414) 645-4240
Entity
Organization
Contact information
Practice address
3201 S 16TH ST, ROOM 1000, MILWAUKEE, WI 53215-4537
(414) 645-4240
(414) 645-8240
Mailing address
3201 S 16TH ST, ROOM 1000, MILWAUKEE, WI 53215-4537
(414) 645-4240
(414) 645-8240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32734300
—
WI
Enumeration date
10/26/2005
Last updated
08/22/2020
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