Individual
MIJUNG JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-4108
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 327-0872
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4704268032
MI
363L00000X
Nurse Practitioner
Primary
4704268032
MI
Other
Enumeration date
01/30/2012
Last updated
03/02/2022
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