Individual
MOUTAMN SADOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29000 LITTLE MACK AVE STE B, SAINT CLAIR SHORES, MI 48081-3018
(586) 774-8811
(586) 774-6773
Mailing address
29000 LITTLE MACK AVE STE B, SAINT CLAIR SHORES, MI 48081-3018
(586) 774-8811
(586) 774-6773
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301111192
MI
208600000X
Surgery Physician
R73297
AZ
Other
Enumeration date
06/21/2012
Last updated
07/21/2022
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