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Supak Sookkasikon, MD
Family Medicine Physician in Bloomfield Township, Michigan
NPI 1649376922

Supak Sookkasikon is a Family Medicine Physician based in Bloomfield Township, MI. Supak Sookkasikon practices in Bloomfield Township, MI and has the professional credentials of MD. The NPI Number for Supak Sookkasikon is 1649376922 and holds a License No. 4301083253 (Michigan).

The current practice location address for Supak Sookkasikon is 4050 W Maple Rd, Bloomfield Township, MI and can be reached out via phone at 248-885-8211 and via fax at 248-885-8357.

Location: 4050 W Maple Rd, Bloomfield Township, MI, 48301-3148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649376922
Provider Name
Supak Sookkasikon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4050 W Maple Rd, Bloomfield Township, MI, 48301-3148
Phone Number
248-885-8211
Fax Number
248-885-8357
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5315028426 01 MI CONTROLLED SUBSTANCE
institution
Provider Business Practice Location Address Details
Address
4050 W Maple Rd
City
Bloomfield Township
State
Michigan
Zip
48301-3148
Phone Number
248-885-8211
Fax Number
248-885-8357
person
Provider Business Mailing Address Details
Address
4050 W Maple Rd
City
Bloomfield Township
State
Michigan
Zip
48301-3148
Phone Number
248-885-8211
Fax Number
248-885-8357
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
4301083253 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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