Individual
MOON KI PAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28111 HOOVER RD, #7A, WARREN, MI 48093
(586) 573-0900
(586) 573-0902
Mailing address
28111 HOOVER, #7A, WARREN, MI 48093
(586) 573-0900
(586) 573-0902
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301033213
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105266
GREAT LAKES
—
01
—
13531
CAPE
—
01
—
1605015361
BCBS
MI
05
—
4784698
—
MI
Enumeration date
08/25/2006
Last updated
05/21/2009
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