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Dr. Willis Clement Chung, MD
Neuroradiology Physician in Eden Prairie, Minnesota
NPI 1659357804

Willis Clement Chung is a Neuroradiology Physician based in Eden Prairie, MN and is specialized in Neuroradiology. Willis Clement Chung practices in Eden Prairie, MN and has the professional credentials of MD. The NPI Number for Willis Clement Chung is 1659357804 and holds a License No. P3700 (Minnesota).

The current practice location address for Willis Clement Chung is 7595 Anagram Dr, Eden Prairie, MN and can be reached out via phone at 612-573-2200 and via fax at 612-573-2274.

Location: 7595 Anagram Dr, Eden Prairie, MN, 55344-7399
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Provider Profile Details
NPI Number
1659357804
Provider Name
Willis Clement Chung
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7595 Anagram Dr, Eden Prairie, MN, 55344-7399
Phone Number
612-573-2200
Fax Number
612-573-2274
Provider Enumeration Date
12/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00031103 01 CO RR MCRE RIA
P00002241 01 CO RR MCRE MIC
1659357804 01 WY WY MEDICAID
01334200 05 CO
institution
Provider Business Practice Location Address Details
Address
7595 Anagram Dr
City
State
Zip
55344-7399
Phone Number
612-573-2200
Fax Number
612-573-2274
person
Provider Business Mailing Address Details
Address
7595 Anagram Dr
City
State
Zip
55344-7399
Phone Number
612-573-2200
Fax Number
612-573-2274
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
License No.
33420 (Colorado)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
P3700 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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