Individual
DR. JAMES BONG-SUK KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
19747 W 12 MILE RD STE L7A, SOUTHFIELD, MI 48076-2584
(754) 304-1065
Mailing address
19747 W 12 MILE RD STE L7A, SOUTHFIELD, MI 48076-2584
(754) 304-1065
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005490
MI
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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