Individual
CHAN SUN HWANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9312 S TACOMA WAY STE 115, LAKEWOOD, WA 98499-4474
(253) 251-2551
(253) 251-3197
Mailing address
6820 WATER ST NE, TACOMA, WA 98422-1056
(253) 732-3564
(877) 425-1425
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
00035834
WA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD00035834
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0150123
STATE WORKERS' COMP NUMBR
WA
05
—
1114321
—
WA
Enumeration date
09/12/2005
Last updated
11/17/2017
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