Provider Demographics
NPI:1609568773
Name:EO, ANDREW HAE-MIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:HAE-MIN
Last Name:EO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ASCENSION-MACOMB OAKLAND HOSPITAL
Mailing Address - Street 2:11800 E. 12 MILE ROAD
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093
Mailing Address - Country:US
Mailing Address - Phone:586-573-5059
Mailing Address - Fax:586-573-5855
Practice Address - Street 1:ASCENSION-MACOMB OAKLAND HOSPITAL
Practice Address - Street 2:11800 E. 12 MILE ROAD
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093
Practice Address - Country:US
Practice Address - Phone:586-573-5059
Practice Address - Fax:586-573-5855
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-25
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program