Individual
MR. FAYSAL ALI SAKSOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36175 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3274
(586) 741-3772
(586) 741-4604
Mailing address
36175 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3274
(586) 741-3772
(586) 741-4604
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301056990
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0Q26008
BCBS OF MICHIGAN
MI
01
—
1006439
MCCLAREN HEALTH
MI
05
—
4949770
—
MI
01
—
495680
HAP
MI
01
—
P00370771
RR MEDICARE
—
01
—
SJ820005
MCARE
MI
Enumeration date
07/21/2006
Last updated
11/20/2007
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