Individual
MICHAEL JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 GATEWAY CT STE 100, WEST BEND, WI 53095-8541
(920) 204-6758
Mailing address
DEPT CH 17057, PALATINE, IL 60055-7057
(920) 204-6758
(888) 720-0495
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
53681-20
WI
Other
Enumeration date
04/10/2008
Last updated
12/21/2021
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