SearchMichigan363A00000X

Konan Kouassi, PHYSICIAN ASSISTANT

NPI 1477879492 · on the registry since 2010 · sole proprietor

Practice

Address
23077 Greenfield Rd
Ste 485
Southfield, MI 48075
Phone
(248) 552-9050
Fax
(248) 552-1290
Organisation at this address
Legarius
Kemit Pllc
Ispine Pllc
Daring Corp
Dawn Dme, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
58

Additional practice sites

  • 28050 Grand River Ave, Farmington Hills, MI

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan