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Individual

DR. FADEE RAMZI KAKOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
15830 FORT ST STE 8, SOUTHGATE, MI 48195-1348
(734) 281-6320
Mailing address
29417 BRENTWOOD ST, SOUTHFIELD, MI 48076-2223
(248) 789-6119

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
5901002677
MI
213E00000X
Podiatrist
Primary
5901400364
MI

Other

Enumeration date
07/07/2017
Last updated
06/25/2020
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