| Tae Hong Chung, Md, Pc | |
|
2700 Pointe Tremble Rd Algonac MI 48001-1836 | |
| (810) 794-9324 | |
| (810) 794-0705 |
| Full Name | Tae Hong Chung, Md, Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 2700 Pointe Tremble Rd, Algonac, Michigan |
| Authorized Official Name and Position | Tae Hong Chung (OWNER) |
| Authorized Official Contact | 8107949324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tae Hong Chung, Md, Pc 2700 Pointe Tremble Rd Algonac MI 48001-1836 Ph: (810) 794-9324 | Tae Hong Chung, Md, Pc 2700 Pointe Tremble Rd Algonac MI 48001-1836 Ph: (810) 794-9324 |
| NPI Number | 1487842142 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 10/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487842142 | NPI | - | NPPES |
| 2104149 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | TC035184 (Michigan) | Primary |
Thomas Kizy Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 329 Columbia St, Algonac, MI 48001 Phone: 810-671-3190 Fax: 810-671-3263 | |
Downriver Community Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 Saint Clair River Dr, Algonac, MI 48001 Phone: 810-794-4982 Fax: 810-794-4407 |