Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

A3 Medical

Organization Family Medicine Physician · NPI 1366798373

A3 Medical is a Family Medicine Physician in Bloomfield, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
Specialties on file
3

Practice location Address checks out

4050 W Maple Rd Ste 101
Bloomfield, MI 48301
Phone: (248) 885-8211
Fax: (248) 855-8357
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301080609 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301083253 (MI)
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1366798373
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Supak Sookkasikon — Not Applicable · (248) 885-8211
NPI enumeratedJuly 27, 2012
Last updated in NPPESOctober 14, 2022
Certification dateOctober 14, 2022
Mailing address4050 W Maple Road, Suite 101, Bloomfield, MI 48301

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