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Individual

DR. JAE BOCK CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MDOM PHD

Contact information

Practice address
780 REGENT STREET, SUITE #301, MADISON, WI 53715
(608) 256-0808
(608) 256-0808
Mailing address
780 REGENT STREET, SUITE #301, MADISON, WI 53715
(608) 256-0808
(608) 256-0808

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000825
WI

Other

Enumeration date
05/21/2007
Last updated
07/08/2007
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