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Contact Information

MAURICE W. CHUNG, M.D., S.C.
2315 N LAKE DR
SUITE 711
MILWAUKEE, WI53211-4518
 Phone: 414-224-7909
 Fax: 414-224-7881
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for MAURICE W. CHUNG, M.D., S.C.

NPI # 1134231178
LBN Legal business name MAURICE W. CHUNG, M.D., S.C.
Authorized official MAURICE CHUNG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
WI License # 26944
WI Medicaid 30743100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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