SUPAK SOOKKASIKON, M.D.

Family Medicine

Active Individual
NPI: 1649376922

Practice Address

4050 W MAPLE RD
SUITE 101
Bloomfield Township, MI 48301

Phone: (248) 885-8211

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 4301083253 (MI)

Frequently Asked Questions

NPI 1649376922 is the National Provider Identifier for SUPAK SOOKKASIKON, M.D., a Family Medicine provider located in Bloomfield Township, MI. This NPI was enumerated on September 15, 2006.
SUPAK SOOKKASIKON, M.D. practices at 4050 W MAPLE RD, SUITE 101, Bloomfield Township, MI 48301.

Quick Facts

NPI
1649376922
Type
Individual
Enumerated
Sep 15, 2006
Last Updated
Feb 28, 2014

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