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Individual

DR. GENE L HWANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
225 S WHITTAKER ST, NEW BUFFALO, MI 49117-1377
(269) 469-0202
Mailing address
225 S WHITTAKER ST, NEW BUFFALO, MI 49117-1377
(269) 469-0202

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301048288
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0110069
BLUE CROSS BLUE SHIELD MI
MI
01
71020000110069
FEDERAL BLUE CROSS
MI
Enumeration date
11/25/2005
Last updated
04/14/2008
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