Individual
MIN SUK HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
207 W MAIN ST, LOWELL, MI 49331-1607
(616) 897-7179
Mailing address
207 W MAIN ST, LOWELL, MI 49331-1607
(616) 897-7179
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021598
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H500603014924
DRIVER LICENSE
MI
Enumeration date
06/18/2015
Last updated
10/05/2022
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