Individual
WILLIAM MOOWAN CHAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36175 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3274
(586) 741-3772
(586) 741-4600
Mailing address
36175 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3274
(586) 741-3772
(586) 741-4600
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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