Organization
SUHA KASSAB DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUHA KASSAB DPM (PRESIDENT)
(248) 333-4900
Entity
Organization
Contact information
Practice address
10 W SQUARE LAKE RD, STE300, BLOOMFIELD HILLS, MI 48302-0465
(248) 333-4900
(248) 333-4905
Mailing address
10 W SQUARE LAKE RD, STE 300, BLOOMFIELD HILLS, MI 48302-0465
(248) 333-4900
(248) 333-4905
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SK001415
MI
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2592751
—
MI
01
—
SK001415
BC LINCENSE
MI
Enumeration date
03/26/2008
Last updated
10/23/2024
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