| David B Chua, Md, Sc | |
|
2600 N Mayfair Rd Suite 670 Wauwatosa WI 53226-1309 | |
| (414) 933-9851 | |
| (414) 933-1050 |
| Full Name | David B Chua, Md, Sc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2600 N Mayfair Rd, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | David B Chua (PRESIDENT) |
| Authorized Official Contact | 4149339851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David B Chua, Md, Sc 2600 N Mayfair Rd Suite 670 Wauwatosa WI 53226-1309 Ph: (414) 933-9851 | David B Chua, Md, Sc 2600 N Mayfair Rd Suite 670 Wauwatosa WI 53226-1309 Ph: (414) 933-9851 |
| NPI Number | 1477583573 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477583573 | NPI | - | NPPES |
| 30904600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 20501 (Wisconsin) | Primary |
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