Organization
JOSEPH YACISEN, DO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL ANN POPE (BILLER)
(989) 466-2663
Entity
Organization
Contact information
Practice address
2130 MARSHALL CT, SAGINAW, MI 48602-3351
(989) 466-2663
(989) 466-4748
Mailing address
2130 MARSHALL CT, SAGINAW, MI 48602-3351
(989) 466-2663
(989) 466-4748
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
JY012516
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114926111
—
MI
Enumeration date
12/02/2016
Last updated
12/02/2016
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