Individual
MUTHANNA L. LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
22250 PROVIDENCE DR STE 301A&B, SOUTHFIELD, MI 48075-4825
(248) 849-3281
(248) 849-5449
Mailing address
4967 CROOKS RD, STE 130, TROY, MI 48098-5801
(248) 952-1601
(248) 952-1614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301090045
MI
Other
Enumeration date
08/01/2007
Last updated
10/10/2024
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