Individual
DR. TAREQ YOUSEF GOUSSOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16001 WEST 9 MILE ROAD, SOUTHFIELD, MI 48075
(248) 367-5739
Mailing address
35783 WOODRIDGE CURT, BLDG#31, APT.106, FARMINGTON HILLS, MI 48335
(248) 367-5739
(248) 471-2323
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301081511
MI
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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