Individual provider · NPI-1

Dr. Youssef Abdul-Mohsen Abbiss, D.O.

Internal Medicine · Mount Clemens, MI

NPI number1982991881
StatusActive
Last updated in NPPESNov 18, 2020

Details

NPI
1982991881
Entity type
Individual (NPI-1)
Name
Dr. Youssef Abdul-Mohsen Abbiss
Credential
D.O.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 30, 2011
Certification date
Nov 18, 2020
Last updated
Nov 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine5101019296MIYes
207R00000X Internal MedicineCDR.0000654CO
207R00000X Internal Medicine036.152224IL
207R00000X Internal Medicine2162NE
207R00000X Internal Medicine05-43057KS

Practice location

1000 Harrington St
Mount Clemens, MI 48043-2920

Phone 586-493-8195

Mailing address

4967 Crooks Rd
Ste 130
Troy, MI 48098-5801

Phone 248-952-1601 · Fax 248-952-1614

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