Individual
SONG HAI NAM CHAE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10000 SOUTH TELEGRAPH ROAD, HERITAGE HOSPITAL, TAYLOR, MI 48180-3330
(313) 295-5000
(313) 295-5373
Mailing address
PO BOX 32615, DETROIT, MI 48232-0615
(313) 593-7965
(313) 593-7143
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
032355
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4417447
—
MI
Enumeration date
03/27/2006
Last updated
07/08/2007
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