Individual
CHONG U YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2030 LOCHAVEN RD, WEST BLOOMFIELD, MI 48324-3919
(248) 937-0212
(248) 366-4510
Mailing address
2030 LOCHAVEN RD, WEST BLOOMFIELD, MI 48324-3919
(248) 937-0212
(248) 366-4510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.090527
OH
207Q00000X
Family Medicine Physician
Primary
4301084543
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174841100
—
MI
05
—
2797951
—
OH
Enumeration date
07/17/2007
Last updated
10/20/2011
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