BASSEL ERICSOUSSI

MUNSTER, IN
NPI1700087632
Professional NameBASSEL ERICSOUSSI
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: IN  01069620A)
Additional Taxonomies207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IN  01069620A)
Enumeration Date2007-05-29
Last Update Date2023-07-05
Business Address
Dr. BASSEL ERICSOUSSI M.D.
761 45TH ST STE 108
MUNSTER, IN 46321-2899
Phone number: 219-922-5416
Mailing Address
Dr. BASSEL ERICSOUSSI M.D.
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800