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Organization
NORMAN J KAKOS MD PC
Active
Organization
NORMAN J KAKOS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMAN JOHNNY KAKOS MD (OWNER PHYSICIAN)
(248) 399-5492
Entity
Organization
Contact information
Practice address
32121 WOODWARD AVE, SUITE 204, ROYAL OAK, MI 48073-6237
(248) 399-5492
(248) 399-5792
Mailing address
32121 WOODWARD AVE, SUITE 204, ROYAL OAK, MI 48073-6237
(248) 399-5492
(248) 399-5792
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301068130
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1106334721
BCBS BCN
MI
01
—
110F338430
BCBS GROUP
MI
05
—
4422877
—
MI
Enumeration date
12/01/2006
Last updated
08/14/2015
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