Individual
MR. MICHAEL JOHN KWON-QUNE YEUNG-LAI-WAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 NORTH STATE ST, JACKSON, MS 39216
(601) 984-5426
(601) 984-6889
Mailing address
2500 NORTH STATE ST, JACKSON, MS 39216
(601) 984-5426
(601) 984-6889
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2017
Last updated
07/26/2017
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