Individual
KATHLEEN DUSSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2215 FULLER RD, AMBULATORY MEDICINE OFFICE, ANN ARBOR, MI 48105-2303
(734) 769-7100
Mailing address
2215 N. FULLER DRIVE, AMBULATORY MEDICINE OFFICE, ANN ARBOR, MI 48105
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301094150
MI
Other
Enumeration date
07/13/2009
Last updated
01/10/2013
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