Individual
DR. KATHERINE SHOUSH COOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-6991
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-6991
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2016-01753
NC
208600000X
Surgery Physician
Primary
4301507641
MI
390200000X
Student in an Organized Health Care Education/Training Program
191523
NC
Other
Enumeration date
05/22/2013
Last updated
07/25/2022
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