Supak Sookkasikon, M.D.

NPI #1649376922 in Bloomfield Township, Michigan

Provider Information

NPI Number: 1649376922
Entity Type: Individual
Name: Supak Sookkasikon, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Sep 15, 2006
Last Updated: Feb 28, 2014

Practice Location

Address: 4050 W MAPLE RD
Address 2: SUITE 101
City: Bloomfield Township
State: Michigan
ZIP Code: 48301-3148
Phone: (248) 885-8211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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