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Individual
YAFFA SHAINDEL GREENWALD
Active
Individual
YAFFA SHAINDEL GREENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005862
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12276823
CAQH
—
Enumeration date
06/30/2011
Last updated
04/01/2013
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