Matthew Koo-Sung-M Brown in Commerce Township - Podiatrist

Matthew Koo-Sung-M Brown - NPI 1225124860

Matthew Koo-Sung-M Brown is a Podiatrist in Commerce Township, Michigan. Matthew Koo-Sung-M Brown practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Matthew Koo-Sung-M Brown is 1225124860. The last update date is 2007-07-08.

Matthew Koo-Sung-M Brown's current location address is 4969 Driftwood Drive, Commerce Township, Michigan. You can contact this provider via phone number 2484702140 and fax number 3094136428. The mailing address for Matthew Koo-Sung-M Brown is 4969 Driftwood Drive, Commerce Township, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Matthew Koo-Sung-M Brown
Address 4969 Driftwood Drive, Commerce Township, Michigan
Phone Number 2484702140
Fax Number 3094136428
Sole Proprietor Y
Credentials D.P.M.

NPI Number Detail

NPI Number 1225124860
Provider Enumeration Date 2006-10-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4969 Driftwood Drive
City Commerce Township
State Michigan (MI)
Post Code 48382
Phone Number 2484702140
Fax Number 3094136428

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 5901002060
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4522630 MI --

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FAQs about Matthew Koo-Sung-M Brown

What is the unique 10-digit identifier code assigned to Matthew Koo-Sung-M Brown by the Centers for Medicare & Medicaid Services?

The Matthew Koo-Sung-M Brown has been issued the NPI (National Provider Identifier) 1225124860 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Matthew Koo-Sung-M Brown's facilities are geographically located?

The facilities of Matthew Koo-Sung-M Brown are physically situated at the following location: 4969 Driftwood Drive, Commerce Township, MI, 48382.

What is Matthew Koo-Sung-M Brown's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Matthew Koo-Sung-M Brown is Podiatrist, and the corresponding taxonomy classification code for this specialized field is 213E00000X.

When did Matthew Koo-Sung-M Brown receive its 1225124860 assignment?

The Matthew Koo-Sung-M Brown was assigned its 1225124860 on 2006-10-04, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Matthew Koo-Sung-M Brown most recently updated or revised?

The information pertaining to Matthew Koo-Sung-M Brown, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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