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Contact Information

MARY I NUNCHUCK, DO
1717 TAYLOR AVE
RACINE, WI53403-2405
 Phone: 262-638-6744
 Fax: 262-638-6540
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for MARY I NUNCHUCK · (Female)

NPI # 1316028616
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/17/2006
Last updated 07/07/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 377260021
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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