# MOON PAIK MD

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

## Provider details

- **NPI number:** 1912255746
- **Authorized official:** LAURA NEVILLE (OFFICE MANAGER)
- **Authorized official phone:** (586) 226-3671

## Contact information

- **Practice address:** 28111 HOOVER RD, UNIT 7A, WARREN, MI 48093-4153
- **Practice address phone:** (586) 573-0902
- **Mailing address:** 28111 HOOVER RD, UNIT 7A, WARREN, MI 48093-4153
- **Mailing address phone:** (586) 573-0902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 4301033213 | MI | Yes |

## Other

- **Enumeration date:** 08/28/2012
- **Last updated:** 08/28/2012