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1720406341
YOUNGCHAN PARK
MILWAUKEE, WI
NPI
1720406341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WI 64802)
Enumeration Date
2014-04-01
Last Update Date
2020-05-06
Business Address
YOUNGCHAN PARK
1155 N MAYFAIR RD
MILWAUKEE, WI 53226-3462
Phone number: 414-955-5990
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Mailing Address
YOUNGCHAN PARK
1155 N MAYFAIR RD
MILWAUKEE, WI 53226-3462
Phone number: 414-955-5990
Copy
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