Individual
MOON-CHUL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1764 STONEBRIDGE DR S, ANN ARBOR, MI 48108-8569
(734) 623-0238
Mailing address
1764 STONEBRIDGE DR S, ANN ARBOR, MI 48108-8569
(734) 623-0238
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
4301079022
MI
208D00000X
General Practice Physician
Primary
4301079022
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4347075
—
MI
Enumeration date
10/17/2006
Last updated
05/16/2015
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