Individual
DR. MARK STEVEN KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
150 MILLWOOD ST, SUITE A, CARO, MI 48723-1656
(989) 673-3338
(989) 673-0112
Mailing address
PO BOX 349, SUITE A, CARO, MI 48723-0349
(989) 673-3338
(989) 673-0112
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MK0021200
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2828096
—
MI
Enumeration date
06/20/2006
Last updated
10/13/2011
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