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Individual

DR. YONG MIN KWON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
123 HIGHLAND AVE, GLEN RIDGE, NJ 07028-1527
(973) 429-8800
(973) 748-7076
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301085780
MI
207RG0100X
Gastroenterology Physician
Primary
25MA09117700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
4301085780
MI

Other

Enumeration date
03/27/2007
Last updated
08/14/2019
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