Maurice Wendell Chung in Glendale - Gastroenterology
Maurice Wendell Chung - NPI 1124042015
Maurice Wendell Chung is a Gastroenterology in Glendale, Wisconsin. Maurice Wendell Chung practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Maurice Wendell Chung is 1124042015. The last update date is 2012-06-12.
Maurice Wendell Chung's current location address is 4425 N Port Washington Rd, Glendale, Wisconsin. You can contact this provider via phone number 4143193000 and fax number 4143193033. The mailing address for Maurice Wendell Chung is 4425 N Port Washington Rd, Glendale, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maurice Wendell Chung |
|---|---|
| Address | 4425 N Port Washington Rd, Glendale, Wisconsin |
| Phone Number | 4143193000 |
| Fax Number | 4143193033 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124042015 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2012-06-12 |
Provider Mailing Address Detail
| Address | 4425 N Port Washington Rd |
|---|---|
| City | Glendale |
| State | Wisconsin (WI) |
| Post Code | 532121082 |
| Phone Number | 4143193000 |
| Fax Number | 4143193033 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 26944 |
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Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30743100 | WI | -- |
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What is the unique 10-digit identification code issued to Maurice Wendell Chung by the Centers for Medicare & Medicaid Services?
The Maurice Wendell Chung has been assigned the NPI (National Provider Identifier) 1124042015 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Maurice Wendell Chung's physical address?
The Maurice Wendell Chung is physically located at 4425 N Port Washington Rd, in the city of Glendale, WI, with the postal code 532121082.
What is Maurice Wendell Chung's specialized field of practice, and what is the corresponding taxonomy classification code?
The Maurice Wendell Chung's area of specialization is Gastroenterology, and the corresponding taxonomy code that categorizes this field of practice is 207Rg0100X.
When was the Maurice Wendell Chung's 1124042015 issued?
The Maurice Wendell Chung's 1124042015 was issued on 2006-07-26.
When was the information regarding Maurice Wendell Chung most recently updated?
The details pertaining to the Maurice Wendell Chung, including its address, specialty, and other relevant information, were last refreshed on 2012-06-12.