MEDICARE: MR. DONG YEON MOON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	DM034395	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	110223882	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C3196	OTHER	MI	M-CARE
2	1105044541	OTHER	MI	BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	4035060	OTHER		AETNA
6	102813	OTHER		PREFERRED CHOICES
7	D91391	OTHER		HAP

General Provider Information

NPI Number	:	1710978952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DONG YEON MOON MD

Provider Business Mailing Address
First Line	:	35000 DIVISION RD
Second Line	:	SUITE 9
City	:	RICHMOND
State	:	MI
Zip	:	48062-1566
Country	:	US
Telephone Number	:	586-727-7209
Fax Number	:	586-727-7929

Provider Business Practice Location Address
First Line	:	35000 DIVISION RD
Second Line	:	SUITE 9
City	:	RICHMOND
State	:	MI
Zip	:	48062-1566
Country	:	US
Telephone Number	:	586-727-7209
Fax Number	:	586-727-7929

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	12/21/2009

Similar Medicare Providers

1740290949 — VINCENT I. STROCKIS, D.D.S. P.C.
Practice Location Address:

35000 DIVISION RD , SUITE 4
RICHMOND, MI
48062-1566

Practice Phone: 586-727-1100
Practice Fax:

1851444335 — MRS. SARAH LYNN GILLIES MA, LPC
Practice Location Address:

35000 DIVISION RD , SUITE 2
RICHMOND, MI
48062-1566

Practice Phone: 586-727-5529
Practice Fax: 586-727-4922

1962555227 — GREAT LAKES INTERNIST PC
Practice Location Address:

35000 DIVISION RD , SUITE 9
RICHMOND, MI
48062-1566

Practice Phone: 586-228-8606
Practice Fax:

1053446138 — DR. LAURA JEAN VARGA DC
Practice Location Address:

35000 DIVISION RD , SUITE 7
RICHMOND, MI
48062-1566

Practice Phone: 586-727-8900
Practice Fax: 586-727-3300

1235354986 — NEW IMAGE DENTAL, P.C.
Practice Location Address:

35000 DIVISION RD , SUITE4
RICHMOND, MI
48062-1566

Practice Phone: 586-727-1100
Practice Fax:

1174725287 — VARGA FAMILY CHIROPRACTIC, PLLC
Practice Location Address:

35000 DIVISION RD , SUITE 7
RICHMOND, MI
48062-1566

Practice Phone: 586-727-8900
Practice Fax: 586-727-3300

Directions to “ MR. DONG YEON MOON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.