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Kyoung Soo Bae, MD
Diagnostic Radiology Physician in Clinton Township, Michigan
NPI 1033114848

Kyoung Soo Bae is a Diagnostic Radiology Physician based in Clinton Township, MI and is specialized in Diagnostic Radiology. Kyoung Soo Bae practices in Clinton Township, MI and has the professional credentials of MD. The NPI Number for Kyoung Soo Bae is 1033114848 and holds a License No. 4301031350 (Michigan).

The current practice location address for Kyoung Soo Bae is 36175 Harper Ave, Clinton Township, MI and can be reached out via phone at 586-741-3772 and via fax at 586-741-4604.

Location: 36175 Harper Ave, Clinton Township, MI, 48035-3274
person
Provider Profile Details
NPI Number
1033114848
Provider Name
Kyoung Soo Bae
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
36175 Harper Ave, Clinton Township, MI, 48035-3274
Phone Number
586-741-3772
Fax Number
586-741-4604
Provider Enumeration Date
06/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1006439 01 MI MCLAREN HEALTH
3558987 05 MI
0H26188 01 MI BCBS PROVIDER NUMBER
0Q26008 01 MI BCBS PROVIDER NUMBER
110922 01 MI GREAT LAKES HEALTH
institution
Provider Business Practice Location Address Details
Address
36175 Harper Ave
City
State
Zip
48035-3274
Phone Number
586-741-3772
Fax Number
586-741-4604
person
Provider Business Mailing Address Details
Address
36175 Harper Ave
City
State
Zip
48035-3274
Phone Number
586-741-3772
Fax Number
586-741-4604
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
4301031350 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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