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Contact Information

WOOK KIM MD PC
29877 TELEGRAPH RD
SUITE 401
SOUTHFIELD, MI48034-7661
 Phone: 248-651-8344
 Fax: 248-651-8024
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for WOOK KIM MD PC

NPI # 1134459969
LBN Legal business name WOOK KIM MD PC
Authorized official SIMRAT DHILLON - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/29/2009
Last updated 04/19/2017 - About 9 years ago
Identifiers
MI License # 036156
MI License # 4301099580
MI License # 5315052216
MI Medicaid 3079621
MI Other 036156 STATE LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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