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Individual

DR. DAVID S MONGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01097912A
IN
207L00000X
Anesthesiology Physician
Primary
4301099309
MI
207L00000X
Anesthesiology Physician
C4789
KY
207L00000X
Anesthesiology Physician
CDR.0005934
CO
207L00000X
Anesthesiology Physician
MD29943
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0412301
BCBS PIN
MI
Enumeration date
05/08/2007
Last updated
10/27/2025
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