# EUN-JUNG P KUCWAY MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376739664
- **Authorized official:** DR. EUN-JUNG P KUCKWAY M.D. (CEO/PRESIDENT)
- **Authorized official phone:** (248) 765-2892

## Contact information

- **Practice address:** 20755 GREENFIELD RD, SUITE 200, SOUTHFIELD, MI 48075-5403
- **Practice address phone:** (248) 765-2892
- **Mailing address:** PO BOX 4416, TROY, MI 48099-4416
- **Mailing address phone:** (248) 765-2892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | EK074696 | MI | Yes |

## Other

- **Enumeration date:** 09/20/2007
- **Last updated:** 10/19/2007