Most Relevant Information
Provider Data
| NPI Number: | 1003303058 |
| Provider Name: | SIMON YOUSIF MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/16/2018 |
| Last Updated: | 05/20/2021 |
Provider Practice Location
4201 SAINT ANTOINE ST # 6-G
DETROIT
MI
482012153
Practice Location Phone/Fax
| Phone: | 3139932529 |
| Fax: |
Provider Mailing Location
51269 SANDSHORES DR
SHELBY TOWNSHIP
MI
483163842
Provider Mailing Phone/Fax
| Phone: | 5866230105 |
| Fax: |