Individual
DR. MARIA KATHRYN SOUPHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
309 E 11 MILE RD # B, ROYAL OAK, MI 48067-2735
(947) 522-4900
(947) 522-4910
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101027301
MI
208000000X
Pediatrics Physician
5151014268
MI
Other
Enumeration date
05/22/2020
Last updated
06/27/2023
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