OrganizationActive
A3 Medical
NPI 1366798373 · Internal Medicine Physician · Bloomfield, MI
Provider details
- NPI number
- 1366798373
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Supak Sookkasikon, Not Applicable(248) 885-8211
- License
- 4301083253 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
Practice location
4050 W Maple Road
Suite 101
Bloomfield, MI 48301
Phone: (248) 885-8211
Fax: (248) 855-8357
Approximate (ZIP-level) locationGet directions
Mailing address
4050 W Maple Road
Bloomfield, MI 48301
Registry dates
- Enumerated
- 2012-07-27
- Last updated
- 2022-10-14
- Certified
- 2022-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.