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WOOK KIM MD PC NPI 1134459969


NPI Information

NPI: 1134459969
Provider Name: WOOK KIM MD PC

Doing Business As: FARMBROOK INTERVENTIONAL PAIN AND EMG

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
29877 TELEGRAPH RD
SUITE 401
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 651-8344
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WOOK KIM MD PC is a specialist in Southfield, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WOOK KIM MD PC NPI is 1134459969. The provider is registered as an organization entity type.
The provider Is Doing Business As Farmbrook Interventional Pain And Emg.

The provider's business location address is:

29877 TELEGRAPH RD
SUITE 401
SOUTHFIELD, MI
ZIP 48034-661
Phone: (248) 651-8344
Fax: (248) 651-8024

The provider's authorized official is Simrat Dhillon .
The authorized official title is Office Manager and has the following contact phone number (248) 651-8344.

The enumeration date for this NPI number is 12/29/2009 and was last updated on 4/19/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies4301099580MICHIGANNo
23336C0002XPharmacyClinic Pharmacy5315052216MICHIGANNo
3174400000XSpecialist036156MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036156OTHERMICHIGANSTATE LICENSE
23079621MEDICAIDMICHIGAN
3B45323MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.