| Organization Name: | M.STEVEN KHOURY |
| NPI Number: | 1265469837 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK KHOURY (PHYSICIAN) |
| Mailing Address: | 150 Millwood St Suite A Caro |
| State: | MI US |
| Postal Code: | 487231656 |
| Phone Number: | 9896733338 |
| Fax Number: | 9896730112 |
| NPI Enumeration Date: | 06/27/2006 |
| NPI Last Update Date: | 08/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | MK001200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |