Provider Demographics
NPI:1194766055
Name:HUNG, WINNY W (MD)
Entity type:Individual
Prefix:
First Name:WINNY
Middle Name:W
Last Name:HUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6411 MINERAL POINT RD STE 200
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-4342
Mailing Address - Country:US
Mailing Address - Phone:608-230-4477
Mailing Address - Fax:608-709-2625
Practice Address - Street 1:6411 MINERAL POINT RD STE 200
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-4342
Practice Address - Country:US
Practice Address - Phone:608-230-4477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI47963-020207P00000X
MN105798207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIP00262269OtherMEDICARE RAILROAD
WI34676900Medicaid
WI261771170001OtherBCBS OF WI
WIP00262269OtherMEDICARE RAILROAD
WI34676900Medicaid
H75218Medicare UPIN