Individual
DR. BONG JUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4705 TOWNE CENTRE RD, SUITE 102, SAGINAW, MI 48604-2818
(989) 791-4718
(989) 791-4882
Mailing address
4705 TOWNE CENTRE RD, SUITE 102, SAGINAW, MI 48604-2818
(989) 791-4718
(989) 791-4882
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
BJ040138
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0730194
BLUE CROSS
—
01
—
104020
GREAT LAKES HEALTH PLAN
—
01
—
130026263
TRAVELERS MEDICARE
—
01
—
1307309121
HEALTH PLUS
MI
01
—
1307309121
BLUE CARE NETWORK
—
05
—
1748983
—
MI
Enumeration date
12/16/2005
Last updated
08/06/2013
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