Individual
DR. STEPHANIE LILY SOUKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11900 E 12 MILE RD STE 205, WARREN, MI 48093-3499
(586) 582-7033
(586) 582-7034
Mailing address
11900 E 12 MILE RD STE 205, WARREN, MI 48093-3499
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4351051915
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2021
Last updated
07/01/2024
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