| Doctor Name: | DR. WON B CHAE |
| NPI Number: | 1831192640 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | WC058039 |
| Business Practice Address: | 29829 Telegraph Rd Ste L103 Southfield, MI - 480341376 |
| Business Phone Number: | 2483529525 |
| Business Fax Number: | 2483572959 |
| Mailing Address: | 29829 Telegraph Rd, Ste L103 SOUTHFIELD |
| State: | MI |
| Postal Code: | 480341376 |
| Phone Number: | 2483529525 |
| Fax Number: | 2483572959 |
| NPI Enumeration Date: | 05/24/2005 |
| NPI Last Update Date: | 01/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | WC058039 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |