Individual
JOHN K CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 CAMELOT DR, FOND DU LAC, WI 54935-8335
(920) 926-4939
(920) 926-5999
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
29915
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14567
DEAN
WI
05
—
31493700
—
WI
Enumeration date
11/30/2005
Last updated
12/28/2020
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