Individual
DR. YASSER KOUATLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-1905
Mailing address
6771 FLEMING CREEK DR, YPSILANTI, MI 48198-8702
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301079961
MI
207L00000X
Anesthesiology Physician
74382
WI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
4301079961
MI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
74382
WI
390200000X
Student in an Organized Health Care Education/Training Program
4301079961
MI
Other
Enumeration date
05/10/2007
Last updated
04/26/2021
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