Individual
DR. JIN YOUNG CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
901 E MOUNT HOPE AVE, LANSING, MI 48910-3207
(517) 267-3401
Mailing address
425 RYDER RD APT 315, LANSING, MI 48917-1016
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101016606
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101016606
EDUCATIONAL LICENSE
MI
Enumeration date
11/17/2007
Last updated
11/17/2007
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