Individual
WON G CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 JACKSON ST, MS 11102F, SAINT PAUL, MN 55101
(651) 254-3456
(651) 254-5216
Mailing address
640 JACKSON ST, MS 11102F, SAINT PAUL, MN 55101-2502
(651) 254-3456
(651) 254-5216
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
43262
WI
207P00000X
Emergency Medicine Physician
Primary
43488
MN
207P00000X
Emergency Medicine Physician
60298
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60298
—
CT
05
—
874660500
—
MN
Enumeration date
02/17/2006
Last updated
05/29/2018
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