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Individual

THOMAS K. SONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-9106
(313) 916-1249
Mailing address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-9106

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301075797
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
473175610
MI
01
700H262300
BLUE CROSS-BLUE CROSS
01
TS075797
CHAMPUS-CHAMPUS
Enumeration date
07/12/2006
Last updated
04/05/2021
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