MONGKOL MONG, M.D.P.C.

SOUTHGATE, MI
NPI1316079452
Entity TypeOrganization
Authorized ContactMONGKOL MONGKOLPRADIT
President
734-285-2255
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  MM032063)
Enumeration Date2007-03-12
Last Update Date2020-08-22
Business Address
MONGKOL MONG, M.D.P.C.
15332 FORT ST
SOUTHGATE, MI 48195-1304
Phone number: 734-285-2255
Mailing Address
MONGKOL MONG, M.D.P.C.
15332 FORT ST
SOUTHGATE, MI 48195-1304
Phone number: 734-285-2255