MONGKOL MONGKOLPRADIT

SOUTHGATE, MI
NPI1366435075
Professional NameMONGKOL MONG
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  MM032063)
Enumeration Date2005-08-27
Last Update Date2007-07-09
Business Address
DR. MONGKOL MONGKOLPRADIT M.D.
15332 FORT ST
SOUTHGATE, MI 48195-1304
Phone number: 734-285-2255
Mailing Address
DR. MONGKOL MONGKOLPRADIT M.D.
15332 FORT ST
SOUTHGATE, MI 48195-1304
Phone number: 734-285-2255
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