KONAN EUGENE KOUASSI

SOUTHFIELD, MI
NPI1477879492
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601005325)
Enumeration Date2010-04-15
Last Update Date2023-03-01
Business Address
KONAN EUGENE KOUASSI PHYSICIAN ASSISTANT
23077 GREENFIELD RD STE 485
SOUTHFIELD, MI 48075
Phone number: 248-552-9050
Mailing Address
KONAN EUGENE KOUASSI PHYSICIAN ASSISTANT
3231 CHRISTOPHER LN APT 318
KEEGO HARBOR, MI 48320-1352
Phone number: 313-283-8258