Individual
JUSTIN JAMES CHAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9204
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD-45076
IA
207RH0003X
Hematology & Oncology Physician
Primary
82045
WI
207RH0003X
Hematology & Oncology Physician
MD-45076
IA
207RX0202X
Medical Oncology Physician
MD-45076
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100236288
—
WI
Enumeration date
06/12/2015
Last updated
05/05/2026
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