Organization
HAN SOO BAE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAN BAE M.D. (OTOLARYGNOLOGY)
(989) 354-2191
Entity
Organization
Contact information
Practice address
2079 US HIGHWAY 23 S, ALPENA, MI 49707-4524
(989) 354-2191
(989) 356-0784
Mailing address
2079 US HIGHWAY 23 S, ALPENA, MI 49707-4524
(989) 354-2191
(989) 356-0784
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301075954
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5194963
—
MI
Enumeration date
07/13/2006
Last updated
02/25/2008
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