Organization
JOSPEH R YACISEN DO PC
Active
Other names
Mid Michigan Bone and Joint Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH R YACISEN D.O. (PRESIDENT)
(989) 466-2663
Entity
Organization
Contact information
Practice address
602 BEECH ST, STE 1200, CLARE, MI 48617-1466
(989) 802-5080
(989) 802-5090
Mailing address
315 E WARWICK DR, STE B, ALMA, MI 48801-1083
(989) 466-2663
(989) 466-4748
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
JY012516
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4926111/11
—
MI
01
—
JY012516
LICENSE
MI
Enumeration date
03/23/2010
Last updated
05/04/2010
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