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Individual

DAVID KWON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2799 W GRAND BLVD, K-8 SURGERY, DETROIT, MI 48202-2608
(313) 916-9930
Mailing address
HENRY FORD CANCER INSTITUTE, 2800 W. GRAND BLVD., DETROIT, MI 48202-2608
(313) 916-9930

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301082482
MI
208600000X
Surgery Physician
N2610
TX
2086X0206X
Surgical Oncology Physician
055750
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
206725801
TX
Enumeration date
05/21/2007
Last updated
11/21/2023
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