| Doctor Name: | POLLY CLARE CHUNG |
| NPI Number: | 1326185943 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD CDE |
| License Number: | TO BE ISSUED 2007 |
| Business Practice Address: | 3031 West Grand Boulevard Henry Ford Hospital Endocrinology Detroit, MI - 482023141 |
| Business Phone Number: | 3139162127 |
| Business Fax Number: | 3139168343 |
| Mailing Address: | 2428 London Dr, TROY |
| State: | MI |
| Postal Code: | 480853536 |
| Phone Number: | 2485249547 |
| Fax Number: | 2485249547 |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | TO BE ISSUED 2007 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |