Individual
CHANG SOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16420 EAST 9 MILE RD, EASTPOINTE, MI 48021-2442
(586) 779-0000
(586) 779-9866
Mailing address
16420 EAST 9 MILE RD, EASTPOINTE, MI 48021-2442
(586) 779-0000
(586) 779-9866
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
CK031478
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093837
—
MI
Enumeration date
07/24/2006
Last updated
07/08/2007
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