Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 4301034889 | MI |
NPI | 1003927724 |
---|---|
Provider Name | Dr. Dong Wha Ohm |
First Address | Flint, MI 48504-0040 |
Second Address | Flint, MI 48532-3421 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 24/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3207650 | (05) | MI |