Individual
DR. MICHAEL J SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
450 N WIGET LN, WALNUT CREEK, CA 94598-2408
(925) 691-9806
Mailing address
225 COGGINS DR APT 174, PLEASANT HILL, CA 94523-4404
(909) 471-6515
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
20A11747
CA
Other
Enumeration date
02/24/2012
Last updated
08/15/2022
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