Sunggeun Samuel Im MD

NPI 1770510901 - Surgery - 208600000X

NPI Details
NPI 1770510901
Gender Male
Enumeration Date 06/26/2006
Last Updated 01/29/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
11199 31/2 MILE ROAD
Phone (269) 979-2501
Fax (269) 979-2501
Business Location
11199 3 1/2 MILE RD
BATTLE CREEK MI, 49015-9370, US
Phone (269) 979-2501
Fax (269) 979-2501
Taxonomy Code 208600000X
License State Guam
License Number M-1695
Remove 1770510901 NPI Number

According to our database, Sunggeun Samuel Im MD NPI is 1770510901, taxonomy code is 208600000X and license number is M-1695, license state is located at Guam. Sunggeun Samuel Im MD physically located at 11199 31/2 Mile Road, Battle Creek MI, 49015. NPI Number Sunggeun Samuel Im MD has the Individual type.

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1770510901 NPI number is provided on an as is basis without warranty of any kind. 1770510901 is maintained by the National Plan & Provider Enumeration System. The contents of Sunggeun Samuel Im MD are for informational purposes only.