Individual
GINA KYOUNG SUN PAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 970-5305
Mailing address
918 W HURON ST, ANN ARBOR, MI 48103-4216
(909) 964-4415
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
266932
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2011
Last updated
08/13/2017
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