Individual
SOO YOUNG HWANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 N CENTER AVE, GAYLORD, MI 49735-1592
(989) 731-2201
(989) 731-2206
Mailing address
275 ROBERTS AVE APT 2, GAYLORD, MI 49735-8387
(989) 732-8844
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301048941
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050092126
RAILROAD MEDICARE
MI
01
—
0506900422
BLUE SHIELD
MI
05
—
4447615
—
MI
Enumeration date
09/21/2006
Last updated
02/04/2010
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