| Dr Sudjono Kosim, MD | |
|
718 N. Macomb, Monroe, MI 48161 | |
| (734) 240-8400 | |
| Not Available |
| Full Name | Dr Sudjono Kosim |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 718 N. Macomb, Monroe, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780779330 | NPI | - | NPPES |
| 12915 | Other | MI | COMMUNITY CHOICE OF MI |
| 3442516 | Other | MI | HEALTH PLAN OF MI |
| 3442490 | Medicaid | MI | |
| 3442516 | Other | MI | MOLINA HEALTHCARE |
| 802982 | Other | MI | COMMUNITY CARE PLAN |
| 38338429803 | Other | MI | CNA HEALTH SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301040246 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sudjono Kosim, MD 718 N. Macomb, Monroe, MI 48161 Ph: (734) 240-8400 | Dr Sudjono Kosim, MD 718 N. Macomb, Monroe, MI 48161 Ph: (734) 240-8400 |
Dr. Roger T Kucway, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 Stewart Rd, Monroe, MI 48162 Phone: 734-240-1800 | |
Dr. Craig Shepherd Smith, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 718 N. Macomb, Monroe, MI 48161 Phone: 734-240-8400 |