Individual
PAMELA KUUSISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
16000 W NINE MILE RD, SUITE 601, SOUTHFIELD, MI 48075
(586) 255-1603
Mailing address
16000 W 9 MILE RD, SUITE 601, SOUTHFIELD, MI 48075-4808
(586) 255-1603
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101018077
MI
Other
Enumeration date
07/07/2009
Last updated
09/23/2014
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