Individual
JIWOONG HYUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
17177 N LAUREL PARK DR STE 131, LIVONIA, MI 48152-3952
(734) 462-3210
Mailing address
28741 HERBERT ST, MADISON HEIGHTS, MI 48071-2908
(734) 506-0652
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011944
MI
Other
Enumeration date
08/03/2023
Last updated
05/13/2026
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