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Individual
SEUNGJONG MICHAEL YOO
Active
Individual
SEUNGJONG MICHAEL YOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P3491
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3357089-01
—
TX
01
—
P01339943
MEDICARE RR
TX
Enumeration date
05/28/2010
Last updated
04/13/2022
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