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Individual

FIRAS YAZIGI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
133 S MAIN ST, MOUNT CLEMENS, MI 48043-2308
(586) 468-1600
(586) 465-0329
Mailing address
133 S MAIN ST, MOUNT CLEMENS, MI 48043-2308
(586) 468-1600
(586) 465-0329

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301087284
MI
207UN0901X
Nuclear Cardiology Physician
4301087284
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4301087284
MI LICENSE NUMBER
MI
01
700E04360
BLUE CROSS BLUE SHIELDS OF MICHIGAN
MI
Enumeration date
01/14/2009
Last updated
03/07/2023
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