Individual
DANA SOUKUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 551-9238
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 551-9238
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4351053016
MI
Other
Enumeration date
04/21/2023
Last updated
05/14/2024
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