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Individual

SUN KWON KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
4201 SAINT ANTOINE ST, STE 4C, DETROIT, MI 48201-2153
(313) 745-4525
(313) 745-4399
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(313) 745-4525
(313) 745-4399

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301091570
MI

Other

Enumeration date
12/08/2011
Last updated
10/25/2016
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