Individual
MR. WON G SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1430 SOUTH HIGH STREET, COLUMBUS, OH 43207
(614) 443-0583
(614) 443-2528
Mailing address
1430 SOUTH HIGH STREET, COLUMBUS, OH 43207
(614) 443-0583
(614) 443-2528
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
SO0427842
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0344685
—
OH
01
—
31-1021393-00
FEDERAL TAX ID# WITH BWC
—
Enumeration date
07/28/2006
Last updated
07/08/2007
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