Individual
DR. CHANGHEE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
38815 DEQUINDRE RD, STE 103, TROY, MI 48083
(248) 740-7771
(248) 740-7772
Mailing address
38815 DEQUINDRE RD, STE 103, TROY, MI 48083
(248) 740-7771
(248) 740-7772
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301059643
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4562401
—
MI
Enumeration date
11/07/2005
Last updated
10/21/2014
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