Provider Demographics
NPI:1093224123
Name:YOUSSEF AOUN DPM PLLC
Entity Type:Organization
Organization Name:YOUSSEF AOUN DPM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:YOUSSEF
Authorized Official - Middle Name:
Authorized Official - Last Name:AOUN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:989-673-3338
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:896-733-3389
Mailing Address - Fax:
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-20
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901002528213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty