Individual
DR. SOYOUNG BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1435 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2653
(248) 543-2229
(248) 543-7878
Mailing address
1435 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2653
(248) 543-2229
(248) 543-7878
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301085673
MI
207V00000X
Obstetrics & Gynecology Physician
MD448168
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028194830001
—
PA
Enumeration date
06/20/2008
Last updated
03/17/2018
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