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Individual

JONG YUAN KUO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
901 MACARTHUR BLVD, MUNSTER RADIOLOGY GROUP, MUNSTER, IN 46321-2901
(219) 836-4569
Mailing address
9201 CALUMET AVE, MUNSTER, IN 46321-2807
(219) 836-2022
(219) 836-0034

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
01038120A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
01038120A
IN

Other

Enumeration date
08/23/2005
Last updated
03/18/2008
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