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Individual

ESTHER SON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
15777 NORTHLINE RD STE 202, SOUTHGATE, MI 48195-2354
(734) 246-8100
Mailing address
15777 NORTHLINE RD, SOUTHGATE, MI 48195-2385
(734) 246-8100

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101026252
MI
208000000X
Pediatrics Physician
5101026252
MI

Other

Enumeration date
07/12/2017
Last updated
12/15/2021
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