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Organization
YONG SOO SO, M.D., P.C.
Active
Organization
YONG SOO SO, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YONG SOO SO M.D. (PRESIDENT)
(586) 778-0209
Entity
Organization
Contact information
Practice address
22001 KELLY RD, EASTPOINTE, MI 48021-2708
(586) 778-0209
(586) 778-0202
Mailing address
22001 KELLY RD, EASTPOINTE, MI 48021-2708
(586) 778-0209
(586) 778-0202
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
YS037124
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4641238
—
MI
Enumeration date
12/21/2006
Last updated
04/20/2008
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