Individual
IN SIK JEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2300
(586) 263-2596
Mailing address
44216 PRINCETON DR, CLINTON TOWNSHIP, MI 48038-1095
(586) 412-2778
(586) 263-2596
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301034767
MI
Other
Enumeration date
12/02/2006
Last updated
07/08/2007
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