Organization
WOOK KIM MD PC
Active
Other names
Farmbrook Interventional Pain and EMG
Organization subpart
No
Provider details
NPI number
Authorized official
SIMRAT DHILLON (OFFICE MANAGER)
(248) 651-8344
Entity
Organization
Contact information
Practice address
29877 TELEGRAPH RD, SUITE 401, SOUTHFIELD, MI 48034-7661
(248) 651-8344
(248) 651-8024
Mailing address
29877 TELEGRAPH RD, SUITE 401, SOUTHFIELD, MI 48034-7661
(248) 651-8344
(248) 651-8024
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036156
MI
332B00000X
Durable Medical Equipment & Medical Supplies
4301099580
MI
3336C0002X
Clinic Pharmacy
5315052216
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036156
STATE LICENSE
MI
05
—
3079621
—
MI
Enumeration date
12/29/2009
Last updated
04/19/2017
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