DMITRI ALEXANDROVICH KAPOUSTA

ANN ARBOR, MI
NPI1316459399
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704299965)
Enumeration Date2017-10-30
Last Update Date2018-12-19
Business Address
DMITRI ALEXANDROVICH KAPOUSTA NP
1500 EAST MEDICAL CENTER DR 2ND FLOOR TAUBMAN CTR RECP F
ANN ARBOR, MI 48109-5332
Phone number: 734-936-5738
Mailing Address
DMITRI ALEXANDROVICH KAPOUSTA NP
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299
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