Individual
JIYONG MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, 11TH FLOOR CS MOTT CHILDRENS HOSPITAL, ANN ARBOR, MI 48109-4204
(734) 936-4978
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301111659
MI
Other
Enumeration date
10/03/2017
Last updated
12/28/2018
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