Individual
DR. MOUNZER YASSIN-KASSAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
804 SERVICE RD STE A217, EAST LANSING, MI 48824-7015
(517) 353-8122
(517) 432-3713
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 353-8122
(517) 432-3713
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
4301084757
MI
2084N0600X
Clinical Neurophysiology Physician
4301084757
MI
2084V0102X
Vascular Neurology Physician
Primary
4301084757
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073557310
—
MI
05
—
4684360
—
MI
Enumeration date
06/16/2006
Last updated
06/29/2023
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