Individual
MR. CHUNG OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
102 SUPERIOR AVE, BARAGA, MI 49908
(906) 353-8700
(906) 353-8799
Mailing address
102 SUPERIOR AVE, BARAGA, MI 49908
(906) 353-8700
(906) 353-8799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101011411
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4501442
—
MI
01
—
700Z745720
BCBS
MI
Enumeration date
11/02/2006
Last updated
02/27/2013
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