Doctor Name: | ALBERT CHUNG |
NPI Number: | 1700011533 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, MBA |
License Number: | |
Business Practice Address: | 4011 Orchard Dr #2004 Midland, MI - 486406190 |
Business Phone Number: | 9898391795 |
Business Fax Number: | 9898391785 |
Mailing Address: | 2618 W Sugnet Rd, MIDLAND |
State: | MI |
Postal Code: | 486402647 |
Phone Number: | 9896338000 |
Fax Number: | 9896338172 |
NPI Enumeration Date: | 05/22/2009 |
NPI Last Update Date: | 06/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |