Individual
DR. JOHN PETER CHUNGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
801 E. LASALLE AVE., ST. JOSEPH REGIONAL MEDICAL CENTER, SOUTH BEND, IN 46617
(574) 233-3123
Mailing address
14186 STONEHURST CT, GRANGER, IN 46530-4861
(574) 271-9999
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01064029A
IN
Other
Enumeration date
11/08/2006
Last updated
10/25/2007
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