Dong Yeon Moon in Richmond - Internal Medicine
Dong Yeon Moon - NPI 1710978952
Dong Yeon Moon is a Internal Medicine in Richmond, Michigan. Dong Yeon Moon practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Dong Yeon Moon is 1710978952. The last update date is 2009-12-21.
Dong Yeon Moon's current location address is 35000 Division Rd, Richmond, Michigan. You can contact this provider via phone number 5867277209 and fax number 5867277929. The mailing address for Dong Yeon Moon is 35000 Division Rd, Richmond, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dong Yeon Moon |
|---|---|
| Address | 35000 Division Rd, Richmond, Michigan |
| Phone Number | 5867277209 |
| Fax Number | 5867277929 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1710978952 |
|---|---|
| Provider Enumeration Date | 2005-11-04 |
| Last Updated Date | 2009-12-21 |
Provider Mailing Address Detail
| Address | 35000 Division Rd |
|---|---|
| City | Richmond |
| State | Michigan (MI) |
| Post Code | 480621566 |
| Phone Number | 5867277209 |
| Fax Number | 5867277929 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | DM034395 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C3196 | MI | M-CARE | |
| 1105044541 | MI | BLUE CROSS | |
| 2092217 | MI | -- | |
| 110223882 | RAILROAD MEDICARE | ||
| 4035060 | AETNA | ||
| 102813 | PREFERRED CHOICES | ||
| D91391 | HAP |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dong Yeon Moon by the Centers for Medicare & Medicaid Services?
The Dong Yeon Moon has been issued the NPI (National Provider Identifier) 1710978952 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Dong Yeon Moon?
The Dong Yeon Moon is physically situated at 35000 Division Rd, in the city of Richmond, state of MI, with the postal code 480621566.
What is Dong Yeon Moon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dong Yeon Moon's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1710978952 to Dong Yeon Moon?
The Dong Yeon Moon received its 1710978952 assignment from the Centers for Medicare & Medicaid Services on 2005-11-04.
As of what date were the details related to Dong Yeon Moon most recently updated or revised?
The information pertaining to Dong Yeon Moon, including its address, specialty, and other relevant details, was last updated or revised on 2009-12-21.
NPI Number: 1275535502
Address: 1986 Enterprise Ave Apt B, Great Lakes, IL