OLIVIA ROSE SOUPHIS

ROYAL OAK, MI
NPI1356961361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4301509134)
Enumeration Date2020-04-20
Last Update Date2023-08-17
Business Address
OLIVIA ROSE SOUPHIS MD
309 E 11 MILE RD
ROYAL OAK, MI 48067-2735
Phone number: 947-522-4900
Mailing Address
OLIVIA ROSE SOUPHIS MD
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number:
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