TAEWOONG KONG

FRUITPORT, MI
NPI1588550826
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  4351055141)
Enumeration Date2025-06-13
Last Update Date2025-06-13
Business Address
TAEWOONG KONG MD
3443 FARR RD
FRUITPORT, MI 49415-8779
Phone number: 231-672-2900
Mailing Address
TAEWOONG KONG MD
1675 LEAHY ST STE 315A
MUSKEGON, MI 49442-5543
Phone number: 231-672-8284
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