Mongkol Mong, M.d.p.c.
Mongkol Mong, M.d.p.c. is an Internal Medicine Physician in Southgate, Michigan. Licensed in Michigan. Registered with an NPI since 2007.
- Licensed in
- MI
- In the registry since
- 2007
Practice location Address checks out
15332 Fort StSouthgate, MI 48195-1304
Phone: (734) 285-2255
Fax: (734) 285-9044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence MM032063 (MI) |
|---|
Record details
| NPI number | 1316079452 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mongkol Mongkolpradit — President · (734) 285-2255 |
| NPI enumerated | March 12, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 15332 Fort St, Southgate, MI 48195-1304 |
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