KASSEM SOUFAN

WAYNE, MI
NPI1972170652
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4351048211)
Enumeration Date2021-06-09
Last Update Date2021-06-09
Business Address
KASSEM SOUFAN
33155 ANNAPOLIS ST
WAYNE, MI 48184-2405
Phone number: 313-436-2577
Mailing Address
KASSEM SOUFAN
11166 RIVERSIDE DR.
WINDSOR, ONTARIO N8P1A4
Phone number:
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