Individual
DR. LYDIA WOO YOUNG CHOI-KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4100 JOHN R ST, DETROIT, MI 48201-2013
(800) 527-6266
(313) 576-8699
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5974
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301097512
MI
208600000X
Surgery Physician
RT1117
NH
Other
Enumeration date
09/13/2006
Last updated
03/30/2016
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