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Organization
YASSIR ATTALLA PLLC
Active
Organization
YASSIR ATTALLA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASSIR A ATTALLA M.D. (AUTHORIZED OFFICIAL)
(313) 399-3477
Entity
Organization
Contact information
Practice address
15450 NORTHLINE RD STE 102, SOUTHGATE, MI 48195-2490
(734) 282-2020
(734) 282-2002
Mailing address
15450 NORTHLINE RD STE 102, SOUTHGATE, MI 48195-2490
(734) 720-7270
(734) 288-0934
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
YA048664
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4995674
—
MI
Enumeration date
05/08/2007
Last updated
07/21/2022
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