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1972170652
KASSEM SOUFAN
CANTON, MI
NPI
1972170652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301511386)
Enumeration Date
2021-06-09
Last Update Date
2024-10-30
Business Address
KASSEM SOUFAN MD
2050 N HAGGERTY RD
CANTON, MI 48187-3795
Phone number: 734-446-9757
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Mailing Address
KASSEM SOUFAN MD
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number:
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