Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KYUNG AI MIREILLE CHAE, M.D.
ActiveDermatology · MANITOWOC, WI
Registration Details
- NPI Number
- 1932101060
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 1, 2005 (20.889628336636 yrs)
- Last Updated
- Feb 15, 2021
- Licenses
-
67321-20 (WI)67321-20 (WI)67321-20 (WI)67321-20 (WI)
Practice Information
- Address
-
801 YORK STMANITOWOC, WI, 542204630Browse WI providers · Browse ZIP 54220
- Phone
- 9206835278
- Fax
- 9206869674
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- 207NP0225X
- Additional Specialty
- Dermatopathology (Pathology)
- Additional Specialty
- Dermatology
Other Dermatology Providers in MANITOWOC, WI
| Name | Credential | NPI |
|---|---|---|
| BETSY JANE WERNLI | M.D | 1437378973 |
| HENRY M KATZ | M.D. | 1154586592 |
| DR. AZAM AHMED QURESHI | M.D. | 1245899038 |
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.