Individual
DR. RYAN JOHAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4701 TOWNE CENTRE RD STE 202, SAGINAW, MI 48604-2800
(989) 790-2600
Mailing address
4701 TOWNE CENTRE RD STE 202, SAGINAW, MI 48604-2800
(989) 790-2600
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301096627
MI
2086S0129X
Vascular Surgery Physician
2015018177
MO
2086S0129X
Vascular Surgery Physician
Primary
4301096627
MI
Other
Enumeration date
06/30/2010
Last updated
03/26/2021
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