Individual
KRISTEN MARIE DESSOUKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17190 LENNANE, REDFORD, MI 48240-2130
(313) 704-2954
Mailing address
PO BOX 18998, BELFAST, ME 04915-4084
(469) 803-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704276440
MI
Other
Enumeration date
09/19/2022
Last updated
05/19/2026
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