Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacob Junhyuk Im, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366183204

Dr. Jacob Junhyuk Im, MD is a Student in an Organized Health Care Education/Training Program in Detroit, Michigan. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4717 Saint Antoine St
Detroit, MI 48201-1423
Phone: (313) 577-7614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1366183204
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022

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