Provider Demographics
NPI:1689654832
Name:CHO, JAMES (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:CHO
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:43750 GARFIELD RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-1135
Mailing Address - Country:US
Mailing Address - Phone:586-226-6865
Mailing Address - Fax:586-226-6880
Practice Address - Street 1:42645 GARFIELD RD
Practice Address - Street 2:SUITE 103
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-5022
Practice Address - Country:US
Practice Address - Phone:586-286-0050
Practice Address - Fax:586-286-0880
Is Sole Proprietor?:No
Enumeration Date:2006-01-21
Last Update Date:2012-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101012889207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4381317Medicaid
MI4381317Medicaid
MIN40170035Medicare ID - Type UnspecifiedMEDICARE