Individual
MR. ABRAHAM KISULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22301 FOSTER WINTER DR, SOUTHFIELD, MI 48075-3707
(248) 849-3541
Mailing address
22301 FOSTER WINTER DR, SOUTHFIELD, MI 48075-3707
(248) 849-3541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101028467
MI
207RH0003X
Hematology & Oncology Physician
Primary
5101028467
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2022
Last updated
06/29/2025
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