Brown, Matthew Koo-Sung-Min

Brown, Matthew Koo-Sung-Min is an sole proprietor health care provider with primary practice located at 4969 Driftwood Drive , Commerce Township MI 48382. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Brown, Matthew Koo-Sung-Min can be contacted via phone (248) 470-2140.

Contact Information

Primary practice address
4969 Driftwood Drive Commerce Township MI 48382
Phone: (248) 470-2140
Fax: (309) 413-6428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901002060 Michigan

Profile Details

NPI number 1225124860
LBN Legal business name Brown, Matthew Koo-Sung-Min
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225124860 NPPES
Michigan MEDICAID 4522630

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