Individual
WILLIAM MOOWAN CHAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301031376
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H26188
BCBS PROVIDER NUMBER
MI
01
—
0H26188011
FED BLACK LUNG PROGRAM
—
01
—
0Q26008
BCBS PROVIDER NUMBER
MI
01
—
0Q26008011
FED BLACK LUNG PROGRAM
—
01
—
1006439
MCLAREN HEALTH
MI
01
—
110479
GREAT LAKES HEALTH
MI
01
—
136661110
PROCARE
MI
01
—
300008866
PALMETTO GBA RR MEDICARE
—
05
—
3558987
—
MI
Enumeration date
06/15/2005
Last updated
03/14/2011
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