Kwon, David

Kwon, David is an sole proprietor health care provider with primary practice located at 2799 W Grand Blvd K-8 Surgery, Detroit MI 48202-2608. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Kwon, David can be contacted via phone (313) 916-9930.

Contact Information

Primary practice address
2799 W Grand Blvd K-8 Surgery Detroit MI 48202-2608
Phone: (313) 916-9930
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301082482 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X N2610 Texas
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 055750 Michigan

Profile Details

NPI number 1245449743
LBN Legal business name Kwon, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated Nov 21st, 2023 - about last year

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 1245449743 NPPES
Texas MEDICAID 206725801

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