DR. Corey Suthumphong, MD

NPI #1598404949 in Pontiac, Michigan

Provider Information

NPI Number: 1598404949
Entity Type: Individual
Name: DR. Corey Suthumphong, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Jun 2, 2022
Last Updated: Jun 2, 2022

Practice Location

Address: 44405 WOODWARD AVE
City: Pontiac
State: Michigan
ZIP Code: 48341-5023
Phone: (248) 858-3234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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