South Center Medical Group Ltd

NPI #1508856030 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1508856030
Entity Type: Organization
Organization Name: South Center Medical Group Ltd
Primary Specialty: Internal Medicine
Enumeration Date: Oct 26, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 3201 S 16TH ST
Address 2: ROOM 1000
City: Milwaukee
State: Wisconsin
ZIP Code: 53215-4537
Phone: (414) 645-4240

Authorized Official

Name: DR. WILLIAM W CHUNG, MD
Title: PRESIDENT/SOUTH CENTER MEDICAL GRP
Phone: (414) 645-4240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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