Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 51952 | WI |
N | 207YP0228X | Pediatric Otolaryngology | MD036517 | DC |
NPI | 1861651390 |
---|---|
Provider Name | Dr. Robert H. Chun |
First Address | Milwaukee, WI 53226-4874 |
Second Address | Milwaukee, WI 53226-4874 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 20/09/2012 |