Individual
DR. AHMED ELDESSOUKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 N JACKSON ST, JACKSON, MI 49201-1266
(517) 748-5500
Mailing address
505 N JACKSON ST, JACKSON, MI 49201-1266
(517) 748-5500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301507856
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4351044319
—
MI
Enumeration date
06/26/2019
Last updated
08/03/2023
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