Individual
KIM ABBEGAIL TAN ALDECOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ST. JOSEPH MERCY OAKLAND HOSPITAL,44405 WOODWARD AVENUE, MEDICAL EDUCATION DEPARTMENT H23, PONTIAC, MI 48341
(248) 858-6233
(248) 858-3244
Mailing address
ST. JOSEPH MERCY OAKLAND HOSPITAL,44405 WOODWARD AVENUE, MEDICAL EDUCATION DEPARTMENT H23, PONTIAC, MI 48341
(248) 858-6233
(248) 858-3244
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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