Individual provider · Type 1 NPI
Yonjae Joshua Kim, MD
Vascular Surgery Physician · Michigan City, IN
NPI number
1700317146
Active
Practice location
8865 W 400 N Ste 175
Michigan City, IN 46360-9010
Fax (219) 877-2230
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Other practice locations
- 1775 Dempster St, Mailbox #48, Park Ridge, IL 60068-1188 · (847) 723-2210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 01100298A (IN) |
| Surgery Physician | 208600000X | 036.169189 (IL) |
| Surgery Physician | 208600000X | 01100298A (IN) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2 other providers at this address
Other vascular surgery physician providers in Michigan City
About NPI 1700317146
Yonjae Joshua Kim, MD's National Provider Identifier is 1700317146, issued on Mar 27, 2017. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Michigan City, IN. The record was last updated on Jul 14, 2026.