Individual
JOHN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
4301109294
MI
2085N0700X
Neuroradiology Physician
4301109294
MI
2085R0202X
Diagnostic Radiology Physician
257877
MA
2085R0202X
Diagnostic Radiology Physician
Primary
4301109294
MI
Other
Enumeration date
05/11/2009
Last updated
08/09/2019
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