Individual
DR. FADI TOBIA KASYOUHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 W 13 MILE RD STE EC, ROYAL OAK, MI 48073-6712
(248) 898-2001
Mailing address
1958 MAPLEWOOD AVE, BLOOMFIELD HILLS, MI 48302-0209
(248) 943-7032
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301102854
MI
Other
Enumeration date
06/27/2013
Last updated
07/21/2022
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