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Individual
SEONG CHEOL KIM
Active
Individual
SEONG CHEOL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
039276
MI
2083X0100X
Occupational Medicine Physician
039276
MI
208D00000X
General Practice Physician
Primary
4301039276
MI
208D00000X
General Practice Physician
SK039276
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4542300
—
MI
Enumeration date
07/28/2005
Last updated
11/17/2023
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