Individual
MR. FAYSAL ALI SAKSOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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