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Individual

YOLAINE A CIVIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 ARNET ST, SUITE 200, YPSILANTI, MI 48198-5753
(734) 484-7288
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301061827
MI
2080P0201X
Pediatric Allergy/Immunology Physician
4301061827
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4764962
MI
Enumeration date
08/25/2006
Last updated
05/04/2023
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