Individual
DR. KIM CHING MAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
27901 WOODWARD AVE, SUITE 300, BERKLEY, MI 48072-0919
(248) 545-0070
(248) 545-4850
Mailing address
27901 WOODWARD AVE, SUITE 300, BERKLEY, MI 48072-0919
(248) 545-0070
(248) 545-4850
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
5101009642
MI
207RC0000X
Cardiovascular Disease Physician
5101009642
MI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
5101009642
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3466966
—
MI
Enumeration date
05/11/2006
Last updated
10/23/2020
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