Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kyung Ai Mireille Chae, MD

Individual provider Dermatopathology Physician · NPI 1932101060

Dr. Kyung Ai Mireille Chae, MD is a Dermatology in Manitowoc, Wisconsin. Graduated from University of Minnesota Medical School in 1995, 31 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
31
Trained at
University of Minnesota Medical School
Licensed in
WI
In the registry since
2005
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

801 York St
Manitowoc, WI 54220-4630
Phone: (920) 683-5278
Fax: (920) 686-9674
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 Scheuring Rd, De Pere, WI 54115-1067 — (920) 964-0229

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 67321-20 (WI)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 67321-20 (WI)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence 67321-20 (WI)
Dermatopathology (Pathology) Physician Taxonomy 207ZD0900X · Licence 67321-20 (WI)

Record details

NPI number1932101060
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2005
Last updated in NPPESFebruary 15, 2021
Certification dateFebruary 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1995 (31 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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