Soo, Teck Mun

Soo, Teck Mun is an individual health care provider with primary practice located at 22250 Providence Dr Suite 601, Southfield MI 48075-4825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Soo, Teck Mun can be contacted via phone (248) 569-7745.

Contact Information

Primary practice address
22250 Providence Dr Suite 601 Southfield MI 48075-4825
Phone: (248) 569-7745
Fax: (248) 569-4539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 4301073537 Michigan

Profile Details

NPI number 1225020555
LBN Legal business name Soo, Teck Mun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Feb 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225020555 NPPES
Michigan MEDICAID 4781533/10

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