Individual
DR. PHILIP KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
29138 GRATIOT AVE, ROSEVILLE, MI 48066-4152
(586) 541-0747
Mailing address
29138 GRATIOT AVE, ROSEVILLE, MI 48066-4152
(586) 541-0747
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004923
MI
Other
Enumeration date
07/29/2015
Last updated
10/26/2015
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