Individual
MAMOUN MOUSA SOULEIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7000
Mailing address
4100 LAKE DR SE STE 200, GRAND RAPIDS, MI 49546-8292
(616) 267-8244
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301514351
MI
207RP1001X
Pulmonary Disease Physician
4301514351
MI
Other
Enumeration date
06/09/2022
Last updated
05/24/2026
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