Organization
FADI YASIN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADI ABU YASIN MD (MD/OWNER)
(734) 495-9460
Entity
Organization
Contact information
Practice address
47166 MICHIGAN AVE, CANTON, MI 48188-2583
(734) 495-9460
(734) 495-9461
Mailing address
47166 MICHIGAN AVE, CANTON, MI 48188-2583
(734) 495-9460
(734) 495-9461
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301085478
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4301085478
—
MI
Enumeration date
04/01/2015
Last updated
04/01/2015
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