Individual
TAI-CHI KWOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1761 BEALL AVE, SUITE 3C, WOOSTER, OH 44691-2342
(330) 345-5374
(330) 345-5814
Mailing address
1761 BEALL AVE, SUITE 3C, WOOSTER, OH 44691-2342
(330) 345-5374
(330) 345-5814
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
35074032
OH
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
35-074032
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2177059
—
OH
Enumeration date
08/29/2006
Last updated
12/31/2014
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