Individual
DR. JUNGHO LEE KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2825 LIVERNOIS RD, TROY, MI 48083-1214
(248) 689-7428
Mailing address
2825 LIVERNOIS RD, TROY, MI 48083-1214
(248) 689-7428
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301083389
MI
207N00000X
Dermatology Physician
N2611
TX
Other
Enumeration date
05/21/2007
Last updated
07/26/2011
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