Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 43350020 | WI |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 43350-20 | WI |
NPI | 1518046499 |
---|---|
Provider Name | Yoon Wook Chun |
First Address | Green Bay, WI 54305-2487 |
Second Address | Green Bay, WI 54301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 06/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
34089900 | (05) | WI |
9004542 | BOARD CERTIFICATION FEMALE PELVIC MEDICINE AND RECONSTRUCTION (01) | |
H38026 | (02) |