Individual
BO JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6071 W OUTER DR, SINAI GRACE HOSPITAL PATHOLOGY, DETROIT, MI 48235-2624
(313) 966-3333
(313) 966-2624
Mailing address
1420 STEPHENSON HWY, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5974
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301080671
MI
Other
Enumeration date
06/01/2006
Last updated
02/05/2014
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