Individual
JAIME T YAMBAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4444 W BRISTOL RD, SUITE 150, FLINT, MI 48507-3153
(810) 230-9500
(810) 230-0169
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301076901
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010B560260
BCBSM
MI
01
—
0802511362
BLUE CROSS BLUE SHIELD IN
MI
01
—
080B513530
BLUE CARE NETWORK GROUP
MI
01
—
0999611
HEALTHPLUS
MI
01
—
1015329
MCLAREN HEALTH PLAN
MI
05
—
4743541
—
MI
05
—
4891796
—
MI
01
—
H94308
HEALTH ALLIANCE PLAN
MI
Enumeration date
05/04/2006
Last updated
07/10/2014
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