Individual
MOUSA SHUKR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(313) 804-1833
Mailing address
22250 PROVIDENCE DR, STE 301B, SOUTHFIELD, MI 48075-6211
(248) 849-3281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301103899
MI
Other
Enumeration date
06/27/2013
Last updated
05/31/2016
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