MEDICARE: YOUSIF GORIEL MD,PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	4301034445	MI

General Provider Information

NPI Number	:	1003185653
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUSIF GORIEL MD,PC

Provider Business Mailing Address
First Line	:	15351 W 9 MILE RD
Second Line	:
City	:	OAK PARK
State	:	MI
Zip	:	48237-2514
Country	:	US
Telephone Number	:	248-968-9500
Fax Number	:	248-968-9502

Provider Business Practice Location Address
First Line	:	15351 W 9 MILE RD
Second Line	:
City	:	OAK PARK
State	:	MI
Zip	:	48237-2514
Country	:	US
Telephone Number	:	248-968-9500
Fax Number	:	248-968-9502

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. YOUSIF HANNA GORIEL
Credential	:	MD
Telephone Number	:	248-968-9500

Provider Enumeration Date	:	12/27/2011
Last Update Date	:	12/27/2011

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