Organization
BLOOMFIELD INTERNAL MEDICINE ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH K CHUN MD (PRESIDENT)
24833882220
Entity
Organization
Contact information
Practice address
43494 WOODWARD AVE, SUITE 105, BLOOMFIELD HILLS, MI 48302-5052
(248) 338-8220
Mailing address
43494 WOODWARD AVE, SUITE 105, BLOOMFIELD HILLS, MI 48302-5052
(248) 338-8220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101394062
—
MI
Enumeration date
10/15/2007
Last updated
03/24/2014
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