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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY INEZ NUNCHUCK, D.O.

Active

MARY INEZ NUNCHUCK, D.O. is a Psychiatry & Neurology healthcare provider located in RACINE, Wisconsin. NPI 1316028616 is currently active in the NPPES registry. Verify at CMS.

Psychiatry & Neurology · RACINE, WI

Registration Details

NPI Number
1316028616
Provider Type
Individual
Gender
Female
NPI Issued
Oct 17, 2006 (19.84458830495 yrs)
Last Updated
Jul 7, 2020
License
377260021 (WI)

Practice Information

Address
1717 TAYLOR AVE
RACINE, WI, 534032405
Browse WI providers · Browse ZIP 53403
Phone
2626386744
Fax
2626386540
Primary Specialty
Psychiatry & Neurology
2084P0802X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.