Individual
DANIELLE MARY YOUSIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-1000
Mailing address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012117
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2022
Last updated
11/13/2023
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