Organization
MARK ZOHOURY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ZOHOURY (OFFICE MANAGER)
(248) 740-8000
Entity
Organization
Contact information
Practice address
1950 E WATTLES RD, STE 101, TROY, MI 48085-5099
(248) 740-8000
Mailing address
1950 E WATTLES RD, STE 101, TROY, MI 48085-5099
(248) 740-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2963045
—
MI
Enumeration date
10/17/2012
Last updated
10/17/2012
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