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Contact Information

SUNGGEUN S IM, MD
11199 31/2 MILE ROAD
BATTLE CREEK, MI49015
 Phone: 269-979-2501
 Fax: 269-979-2501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for SUNGGEUN S IM · (Male)

NPI # 1770510901
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2006
Last updated 01/29/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C55339
  • GU License # M-1695
  • MI License # 31469
  • MI Medicaid 1077038
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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