Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 5901002528 | MI |
NPI | 1093121683 |
---|---|
Provider Name | Youssef Aoun |
First Address | Caro, MI 48723-1656 |
Second Address | Caro, MI 48723-1656 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2014 |
Last Update Date | 04/12/2020 |