Individual
DR. YAMEN NACKOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
715 BUTTERNUT AVE, ROYAL OAK, MI 48073-3203
(818) 486-1511
Mailing address
715 BUTTERNUT AVE, ROYAL OAK, MI 48073-3203
(818) 486-1511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301101536
MI
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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