Individual
DR. CHANG SOO CHOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.,
Contact information
Practice address
29355 NORTHWESTERN HWY, SUITE 100 - CARSON CENTER, SOUTHFIELD, MI 48034-1053
(248) 223-0008
(248) 223-0007
Mailing address
29355 NORTHWESTERN HWY, SUITE 100 - CARSON CENTER, SOUTHFIELD, MI 48034-1053
(248) 223-0008
(248) 223-0007
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301032888
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1195980
—
MI
01
—
2406385792
BLUE CROSS, BLUE SHIELD
MI
Enumeration date
03/18/2007
Last updated
07/08/2007
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