Individual
DR. SUHA F KASSAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
10 W SQUARE LAKE RD, STE. 300, BLOOMFIELD HILLS, MI 48302-0465
(248) 333-4900
(248) 333-4905
Mailing address
10 W SQUARE LAKE RD, STE 300, BLOOMFIELD HILLS, MI 48302-0465
(248) 333-4900
(248) 333-4905
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SK001415
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2592751
—
MI
01
—
4858252030
BC
MI
01
—
5287600001
DME
MI
Enumeration date
09/02/2005
Last updated
09/21/2010
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