Individual
KYOUNG SOO BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36175 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3274
(586) 741-3772
(586) 741-4604
Mailing address
36175 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3274
(586) 741-3772
(586) 741-4604
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301031350
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H26188
BCBS PROVIDER NUMBER
MI
01
—
0Q26008
BCBS PROVIDER NUMBER
MI
01
—
1006439
MCLAREN HEALTH
MI
01
—
110922
GREAT LAKES HEALTH
MI
05
—
3558987
—
MI
Enumeration date
06/17/2005
Last updated
04/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us