Individual
ANNA KIM LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6079 W MAPLE RD, WEST BLOOMFIELD, MI 48322-2283
(248) 440-7775
Mailing address
6780 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-2203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006742
MI
Other
Enumeration date
08/31/2013
Last updated
06/28/2018
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