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Individual

DR. EVAN J KASS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2221 LIVERNOIS RD, STE 103, TROY, MI 48083
(248) 519-0305
(248) 519-0315
Mailing address
2221 LIVERNOIS RD, STE 103, TROY, MI 48083
(248) 519-0305
(248) 519-0315

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301031012
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1943253
MI
Enumeration date
11/02/2005
Last updated
07/08/2007
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