Individual
DR. KYUNG AI MIREILLE CHAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 683-5278
(920) 686-9674
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
67321-20
WI
207ND0900X
Dermatopathology Physician
67321-20
WI
207NP0225X
Pediatric Dermatology Physician
67321-20
WI
207ZD0900X
Dermatopathology (Pathology) Physician
67321-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306311900
—
MN
Enumeration date
06/01/2005
Last updated
02/15/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us