Individual
DR. MARK JAMES KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-8400
Mailing address
17434 LEAFDALE CT, MACOMB, MI 48044-5565
(586) 344-8962
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5151011858
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2018
Last updated
09/19/2019
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