Individual
TAE SIK YOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15855 WEST 19 MILE RD, ST JOSEPHS MEDICAL CENTER, CLINTON TWP, MI 48038
(586) 263-2300
(586) 263-2595
Mailing address
PO BOX 55 114, DETROIT, MI 48255
(248) 858-3197
(248) 858-3148
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
033152
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2206352931
BCBSM
MI
05
—
4837156
—
MI
Enumeration date
06/27/2006
Last updated
07/08/2007
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