Individual
DR. THEODORE ALEXANDER KUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR, LOBBY A, ANN ARBOR, MI 48105-9484
(734) 998-6022
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
4301092228
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
MD60545604
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265695985
—
WA
Enumeration date
07/02/2008
Last updated
08/29/2016
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