Organization
CHANGHEE KIM MD PHD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANGHEE KIM M.D. (OWNER)
(248) 740-7771
Entity
Organization
Contact information
Practice address
38815 DEQUINDRE RD, SUITE 103, TROY, MI 48083-6810
(248) 740-7771
Mailing address
38815 DEQUINDRE RD, SUITE 103, TROY, MI 48083-6810
(248) 740-7771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301059643
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4562401
—
MI
Enumeration date
02/07/2008
Last updated
02/28/2008
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