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Organization

SUFYAN FOOT AND ANKLE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YASSER SUFYAN DPM (PRESIDENT)
(313) 333-0564
Entity
Organization

Contact information

Practice address
4160 JOHN R ST STE 1012, DETROIT, MI 48201-2021
(313) 831-6442
(313) 831-6513
Mailing address
4160 JOHN R ST STE 1012, DETROIT, MI 48201-2021
(313) 831-6442
(313) 831-6513

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
261QP1100X
Podiatric Clinic/Center

Other

Enumeration date
05/22/2025
Last updated
09/08/2025
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