Individual
DR. KYUNG-WOONG MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1096 S BELSAY RD, SUITE J, BURTON, MI 48509-1948
(810) 715-0803
(810) 715-0824
Mailing address
3495 S CENTER RD, BURTON, MI 48519-1455
(810) 424-2007
(810) 743-1099
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301034878
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3008204811
BCBSM INDIVIDUAL PIN
MI
05
—
4765404
—
MI
Enumeration date
08/01/2006
Last updated
09/20/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us