Yong Soo So, M.d., P.c.

NPI 1356405294 - General Practice - 208D00000X

NPI Details
NPI 1356405294
Enumeration Date 12/21/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name YONG SOO YONG
Position PRESIDENT
Phone (586) 778-0209
Fax (586) 778-0202
Practice Location
22001 KELLY RD
EASTPOINTE MI, 48021-2708, US
Phone (586) 778-0209
Fax (586) 778-0202
Business Location
22001 KELLY RD
EASTPOINTE MI, 48021-2708, US
Phone (586) 778-0209
Fax (586) 778-0202
Toxanomy
Taxonomy Code 208D00000X
License State Michigan
License Number YS037124
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According to our database, Yong Soo So, M.d., P.c. NPI is 1356405294, taxonomy code is 208D00000X and license number is YS037124, license state is located at Michigan. Yong Soo So, M.d., P.c. physically located at 22001 Kelly Rd, Eastpointe MI, 48021-2708. NPI Number 1033115704 has the healthcare provider type.

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1356405294 NPI number is provided on an as is basis without warranty of any kind. 1356405294 is maintained by the National Plan & Provider Enumeration System. The contents of Yong Soo So, M.d., P.c. are for informational purposes only.