Individual
ISSRA DOURRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3535 W 13 MILE RD, ROYAL OAK, MI 48073-6770
(248) 551-3000
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5151017311
MI
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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