Individual
YI CHUL SUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25195 KELLY RD, SUITE B, ROSEVILLE, MI 48066-4909
(586) 777-3370
(586) 777-3380
Mailing address
25195 KELLY RD, SUITE B, ROSEVILLE, MI 48066-4909
(586) 777-3370
(586) 777-3380
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301039780
MI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
C50870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1395373
—
MI
Enumeration date
09/26/2006
Last updated
03/02/2017
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