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Organization

TAI K. KANG, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TAI K KANG M.D. (PRESIDENT)
(810) 610-4058
Entity
Organization

Contact information

Practice address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 610-4058
Mailing address
9395 BURNING TREE DR, PO BOX 460, GRAND BLANC, MI 48480
(810) 610-4058

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
TK031690
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1059998
MI
Enumeration date
07/24/2007
Last updated
11/07/2007
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