Individual
DONG WHAN OH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 KENSINGTON AVE, FLINT, MI 48503-2044
(810) 762-8058
(810) 762-8016
Mailing address
PO BOX 2987, INDIANAPOLIS, IN 46206-2987
(810) 714-0009
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D0043960
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1410970
—
MI
01
—
320B51006
BLUE CROSS
—
01
—
3R07601
HEALTH PLUS
—
01
—
C6549
MCARE
—
Enumeration date
04/17/2006
Last updated
07/08/2007
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