Moon, Jiyong

Moon, Jiyong is an individual health care provider with primary practice located at 1500 E Medical Center Dr 11Th Floor Cs Mott Childrens Hospital, Ann Arbor MI 48109-4204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Moon, Jiyong can be contacted via phone (734) 936-4978.

Contact Information

Primary practice address
1500 E Medical Center Dr 11Th Floor Cs Mott Childrens Hospital Ann Arbor MI 48109-4204
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 4301111659 Michigan

Profile Details

NPI number 1922518091
LBN Legal business name Moon, Jiyong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2017
Last updated Dec 28th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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