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Individual

DR. KATHLEEN L. YAREMCHUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-3275
(313) 916-7263
Mailing address
2799 W GRAND BLVD # K8, DETROIT, MI 48202-2608
(313) 916-3275

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
046820
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
153170610
MI
01
700H262260
BLUE CROSS-BLUE CROSS
01
KY046820
COMMERCIAL-COMMERCIAL NUMBER
Enumeration date
11/28/2006
Last updated
03/17/2021
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