Watson W Fung MD

NPI 1053493452 - Anesthesiology - 207L00000X

NPI Details
NPI 1053493452
Gender Male
Enumeration Date 10/19/2006
Last Updated 01/13/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
ON025 WINFIELD RD.
WINFIELD IL, 60190, US
Phone (630) 933-1600
Fax
Business Location
255 W MICHIGAN AVE
JACKSON MI, 49201-2218, US
Phone (517) 787-6440
Fax (517) 787-4146
Toxanomy
Taxonomy Code 207L00000X
License State Illinois
License Number 036-100361
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According to our database, Dr. Watson W Fung MD NPI is 1053493452, taxonomy code is 207L00000X and license number is 036-100361, license state is located at Illinois. Watson W Fung MD physically located at On025 Winfield Rd., Winfield IL, 60190. NPI Number Watson W Fung MD has the Individual type.

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1053493452 NPI number is provided on an as is basis without warranty of any kind. 1053493452 is maintained by the National Plan & Provider Enumeration System. The contents of Watson W Fung MD are for informational purposes only.