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

Dr. Corey Suthumphong, MD

Individual provider Surgery Physician · NPI 1598404949

Dr. Corey Suthumphong, MD is a Surgery Physician in Pontiac, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
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

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone: (248) 858-3234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4351049966 (MI)

Record details

NPI number1598404949
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 2, 2022
Last updated in NPPESJune 2, 2022
Certification dateApril 16, 2022
Mailing address44405 Woodward Ave Dept H23, Pontiac, MI 48341-5023

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