Most Relevant Information
Provider Data
| NPI Number: | 1003447681 |
| Provider Name: | YONGSUB CHOI |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/31/2020 |
| Last Updated: | 01/26/2023 |
Provider Practice Location
744 S WEBSTER AVE
GREEN BAY
WI
543013505
Practice Location Phone/Fax
| Phone: | 9204333500 |
| Fax: |
Provider Mailing Location
100 W WALNUT ST APT 306A
GREEN BAY
WI
543032775
Provider Mailing Phone/Fax
| Phone: | 3473710055 |
| Fax: |