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Individual
MIN JI KWAK
Active
Individual
MIN JI KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R6222
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
R6222
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2015
Last updated
05/14/2025
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