Individual
HARRY SEUNG-SHIK KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1175 AIRPORT ACCESS RD, TRAVERSE CITY, MI 49686-3513
(231) 922-8282
Mailing address
1175 AIRPORT ACCESS RD, TRAVERSE CITY, MI 49686-3513
(231) 922-8282
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5605
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD9958
—
AK
Enumeration date
08/20/2006
Last updated
09/25/2014
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