Individual
RYAN KWONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CHILDREN'S HOSPITAL OF MI, 3901 BEAUBIEN, DETROIT, MI 48201-2120
(313) 745-4405
(313) 966-0665
Mailing address
UNIVERSITY PEDIATRICIANS, 4201 ST. ANTOINE - UHC 5D MAILBOX 226, DETROIT, MI 48201-2153
(313) 745-4405
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301109470
MI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
4301109470
MI
Other
Enumeration date
04/20/2013
Last updated
12/11/2018
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