Individual
FREDY MASONGSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27155 CHERRY HILL RD, INKSTER, MI 48141-1204
(313) 749-1178
Mailing address
PO BOX 746723, ATLANTA, GA 30374-6723
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704244001
MI
Other
Enumeration date
05/26/2016
Last updated
02/25/2026
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