Provider Demographics
NPI:1093121683
Name:AOUN, YOUSSEF (DPM)
Entity Type:Individual
Prefix:
First Name:YOUSSEF
Middle Name:
Last Name:AOUN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 MILLWOOD ST
Mailing Address - Street 2:
Mailing Address - City:CARO
Mailing Address - State:MI
Mailing Address - Zip Code:48723-1656
Mailing Address - Country:US
Mailing Address - Phone:989-673-3338
Mailing Address - Fax:989-673-0112
Practice Address - Street 1:150 MILLWOOD ST
Practice Address - Street 2:
Practice Address - City:CARO
Practice Address - State:MI
Practice Address - Zip Code:48723-1656
Practice Address - Country:US
Practice Address - Phone:989-673-3338
Practice Address - Fax:989-673-0112
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-03
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901002528213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery