DANIEL C SOUPHIS

FORT GRATIOT, MI
NPI1225004252
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  5101011575)
Enumeration Date2006-02-28
Last Update Date2014-09-04
Business Address
-- DANIEL C SOUPHIS D.O.
4190 24TH AVE
FORT GRATIOT, MI 48059-3882
Phone number: 810-989-7788
Mailing Address
-- DANIEL C SOUPHIS D.O.
4190 24TH AVE
FORT GRATIOT, MI 48059-3882
Phone number: 810-989-7788